Medicaid Provider Spending

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

HHK SMILE CORPORATION

NPI: 1922490648 · CARROLLTON, TX 75006 · General Practice Dentistry · NPI assigned 03/04/2015

$3K
Total Medicaid Paid
274
Total Claims
267
Beneficiaries
4
Codes Billed
2021-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialKIM, TOM (OFFICE MANAGER)
NPI Enumeration Date03/04/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 203 $2K
2022 71 $561.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 55 52 $1K
D1208 Topical application of fluoride, excluding varnish 67 65 $924.00
D1120 Prophylaxis - child 13 13 $441.00
D0601 139 137 $0.00