ANDREW J. LIM, DDS, INC.
NPI: 1952513103
· HESPERIA, CA 92345
· 1223G0001X
$1.86M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
6,868 |
$156K |
| 2021 |
14,495 |
$382K |
| 2022 |
16,234 |
$503K |
| 2023 |
14,913 |
$466K |
| 2024 |
12,404 |
$357K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
4,661 |
4,649 |
$308K |
| D0120 |
|
2,672 |
2,654 |
$194K |
| D2150 |
|
2,710 |
1,397 |
$182K |
| D1120 |
|
3,311 |
3,297 |
$144K |
| D0230 |
|
28,106 |
6,608 |
$115K |
| D1110 |
|
1,226 |
1,216 |
$110K |
| D0210 |
|
2,118 |
2,113 |
$101K |
| D7210 |
|
810 |
340 |
$96K |
| D0274 |
|
2,991 |
2,976 |
$63K |
| D2751 |
|
133 |
110 |
$63K |
| D1208 |
|
4,650 |
4,626 |
$62K |
| D0220 |
|
4,876 |
4,245 |
$58K |
| D2140 |
|
1,070 |
626 |
$58K |
| D9430 |
|
1,810 |
1,747 |
$58K |
| D3330 |
|
122 |
114 |
$57K |
| D2160 |
|
610 |
396 |
$49K |
| D4910 |
|
603 |
596 |
$46K |
| D0330 |
|
1,523 |
1,513 |
$45K |
| D7240 |
|
86 |
38 |
$20K |
| D4341 |
|
218 |
61 |
$15K |
| D0272 |
|
452 |
447 |
$5K |
| D7230 |
|
25 |
12 |
$5K |
| D2954 |
|
45 |
43 |
$5K |
| D2392 |
|
32 |
15 |
$2K |
| D2952 |
|
19 |
12 |
$2K |
| D0350 |
|
35 |
12 |
$336.00 |