Medicaid Provider Spending

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

OJIN KWON DENTAL CORPORATION

NPI: 1942778501 · NORWALK, CA 90650 · General Practice Dentistry · NPI assigned 11/12/2018

$18K
Total Medicaid Paid
389
Total Claims
389
Beneficiaries
4
Codes Billed
2019-10
First Month
2021-03
Last Month

Provider Details

Authorized OfficialKWON, OJIN (PRESIDENT)
NPI Enumeration Date11/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 58 $3K
2020 231 $11K
2021 100 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 175 175 $12K
D0330 Panoramic radiographic image 169 169 $5K
D1110 Prophylaxis - adult 16 16 $1K
D1208 Topical application of fluoride, excluding varnish 29 29 $398.25