Medicaid Provider Spending

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

KIM, JI HYUN

NPI: 1891081022 · MERIDEN, CT 06451 · Dentist · NPI assigned 06/27/2011

$31K
Total Medicaid Paid
1,219
Total Claims
1,165
Beneficiaries
6
Codes Billed
2018-03
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 469 $13K
2019 500 $12K
2020 250 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 628 603 $14K
D1110 Prophylaxis - adult 385 367 $11K
D1208 Topical application of fluoride, excluding varnish 102 100 $2K
D0274 Bitewings - four radiographic images 71 70 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 20 12 $2K
D1120 Prophylaxis - child 13 13 $586.04