Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GRAND PRAIRIE
› SJ KANG DENTAL ONE, PLLC
SJ KANG DENTAL ONE, PLLC
NPI: 1891492021 · GRAND PRAIRIE, TX 75050 ·
122300000X
$15K
Total Medicaid Paid
712
Total Claims
566
Beneficiaries
9
Codes Billed
2023-07
First Month
2024-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
531
$13K
2024
181
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D2392
47
19
$5K
D0150
77
77
$3K
D0230
222
107
$2K
D1208
105
105
$2K
D0220
110
108
$1K
D1110
17
17
$932.96
D0274
24
24
$761.42
D1120
15
15
$514.50
D0603
95
94
$0.00