YOUNGSAM KIM DENTAL CORPORATION
NPI: 1023525201
· IRVINE, CA 92604
· Dentist
· NPI assigned 01/09/2018
$145.00
Total Medicaid Paid
Provider Details
| Authorized Official | PARK, JANICE (ADMIN) |
| NPI Enumeration Date | 01/09/2018 |
Related Entities
Other providers sharing the same authorized official: PARK, JANICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$145.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$145.00 |