Medicaid Provider Spending

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

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

YearClaimsTotal Paid
2023 531 $13K
2024 181 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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