Medicaid Provider Spending

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

LEE, EUN JIN

NPI: 1932461639 · MARION, IL 62959 · General Practice Dentistry · NPI assigned 06/09/2012

$7K
Total Medicaid Paid
128
Total Claims
117
Beneficiaries
4
Codes Billed
2018-05
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 61 54 $3K
D0120 Periodic oral evaluation - established patient 38 36 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 13 12 $1K
D1208 Topical application of fluoride, excluding varnish 16 15 $210.54