Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KIM, SAVANNAH

NPI: 1841475761 · NEW HAVEN, CT 06511 · Pediatric Dentist · NPI assigned 01/09/2008

$4K
Total Medicaid Paid
177
Total Claims
176
Beneficiaries
7
Codes Billed
2024-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 177 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 39 39 $1K
D1206 Topical application of fluoride varnish 51 51 $1K
D0120 Periodic oral evaluation - established patient 19 19 $467.00
D1310 27 27 $427.49
D0272 Bitewings - two radiographic images 12 12 $270.06
D0220 Intraoral - periapical first radiographic image 15 15 $164.49
D0230 Intraoral - periapical each additional radiographic image 14 13 $111.74