Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › GLENDORA › GRACE KIM DENTAL CORPORATION

GRACE KIM DENTAL CORPORATION

NPI: 1932578101 · GLENDORA, CA 91740 · 122300000X

$60K
Total Medicaid Paid
3,640
Total Claims
2,207
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 367 $4K
2019 435 $9K
2020 612 $7K
2021 721 $9K
2022 499 $11K
2023 699 $16K
2024 307 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 187 186 $10K
D1208 840 836 $10K
D0230 1,934 582 $8K
D0150 105 105 $7K
D1120 215 214 $7K
D1110 67 67 $6K
D2392 70 28 $5K
D0210 101 100 $5K
D2391 22 12 $1K
D9430 29 27 $928.00
D0274 37 37 $766.80
D0350 33 13 $326.40