Medicaid Provider Spending

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

KIM, DANAH

NPI: 1982008066 · LAKE STEVENS, WA 98258 · General Practice Dentistry · NPI assigned 10/17/2014

$5K
Total Medicaid Paid
146
Total Claims
146
Beneficiaries
5
Codes Billed
2018-02
First Month
2018-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 146 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 44 44 $2K
D1120 Prophylaxis - child 43 43 $2K
D1208 Topical application of fluoride, excluding varnish 32 32 $768.00
D1206 Topical application of fluoride varnish 14 14 $311.56
D0220 Intraoral - periapical first radiographic image 13 13 $194.86