Medicaid Provider Spending

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

JEON, SE-YOUNG

NPI: 1982126884 · ALEXANDRIA, VA 22304 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/12/2017

$7K
Total Medicaid Paid
292
Total Claims
277
Beneficiaries
6
Codes Billed
2018-02
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 292 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 95 89 $2K
D1120 Prophylaxis - child 42 42 $2K
D0120 Periodic oral evaluation - established patient 54 53 $1K
D0220 Intraoral - periapical first radiographic image 61 55 $833.25
D0150 Comprehensive oral evaluation - new or established patient 13 13 $830.99
D0230 Intraoral - periapical each additional radiographic image 27 25 $319.40