Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MONTCLAIR › O.J KWON DENTAL CORPORATION

O.J KWON DENTAL CORPORATION

NPI: 1972044337 · MONTCLAIR, CA 91763 · 122300000X

$339K
Total Medicaid Paid
12,233
Total Claims
6,842
Beneficiaries
12
Codes Billed
2019-08
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 83 $3K
2021 1,127 $28K
2022 2,789 $70K
2023 3,890 $110K
2024 4,344 $127K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 833 833 $55K
D2392 693 328 $46K
D0120 576 576 $46K
D2391 741 341 $40K
D1110 347 347 $31K
D1120 620 620 $30K
D0210 538 538 $26K
D0230 4,574 909 $19K
D1208 1,204 1,204 $17K
D0350 1,480 597 $14K
D0274 525 525 $11K
D1351 102 24 $4K