Medicaid Provider Spending

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

HODIAH DMD LLC

NPI: 1861057044 · CLARKSVILLE, MD 21029 · Dentist · NPI assigned 05/03/2019

$20K
Total Medicaid Paid
532
Total Claims
519
Beneficiaries
10
Codes Billed
2023-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIM, HYOUNG KEUN (DOCTOR)
NPI Enumeration Date05/03/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 262 $9K
2024 270 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 64 64 $4K
D1206 Topical application of fluoride varnish 149 149 $4K
D0140 Limited oral evaluation - problem focused 76 70 $4K
D0150 Comprehensive oral evaluation - new or established patient 46 46 $3K
D0330 Panoramic radiographic image 45 45 $2K
D0120 Periodic oral evaluation - established patient 42 42 $1K
D0274 Bitewings - four radiographic images 41 41 $986.87
D1120 Prophylaxis - child 12 12 $586.80
D0220 Intraoral - periapical first radiographic image 41 34 $447.17
D1330 16 16 $115.20