Medicaid Provider Spending

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

HAN S. SOH, DDS, PC

NPI: 1912178815 · CHANTILLY, VA 20151 · General Practice Dentistry · NPI assigned 03/18/2008

$4K
Total Medicaid Paid
144
Total Claims
144
Beneficiaries
4
Codes Billed
2018-08
First Month
2021-03
Last Month

Provider Details

Authorized OfficialSOH, HAN (PRESIDENT)
NPI Enumeration Date03/18/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 65 $2K
2019 37 $1K
2021 42 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 67 67 $1K
D1110 Prophylaxis - adult 25 25 $1K
D0120 Periodic oral evaluation - established patient 39 39 $785.85
D1120 Prophylaxis - child 13 13 $435.76