Medicaid Provider Spending

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

DREAM DENTAL PARTNERS

NPI: 1871291393 · DALLAS, TX 75237 · Public Health Dentist · NPI assigned 02/23/2023

$13K
Total Medicaid Paid
924
Total Claims
757
Beneficiaries
8
Codes Billed
2024-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSUNG, HYUNSIK (OWNER)
NPI Enumeration Date02/23/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 924 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 295 145 $3K
D0120 Periodic oral evaluation - established patient 95 94 $3K
D0274 Bitewings - four radiographic images 80 75 $2K
D1110 Prophylaxis - adult 38 38 $2K
D0220 Intraoral - periapical first radiographic image 164 154 $2K
D1208 Topical application of fluoride, excluding varnish 95 95 $1K
D1120 Prophylaxis - child 12 12 $367.50
D0603 145 144 $0.00