DIANE KIM DDS PLLC
NPI: 1023778768
· HUMBLE, TX 77338
· Dentist
· NPI assigned 12/21/2021
Provider Details
| Authorized Official | KIM, DIANE (OWNER) |
| NPI Enumeration Date | 12/21/2021 |
Related Entities
Other providers sharing the same authorized official: KIM, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
263 |
$5K |
| 2023 |
709 |
$11K |
| 2024 |
848 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0220 |
Intraoral - periapical first radiographic image |
441 |
423 |
$5K |
| D1120 |
Prophylaxis - child |
144 |
138 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
390 |
375 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
141 |
138 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
103 |
93 |
$3K |
| D0272 |
Bitewings - two radiographic images |
127 |
121 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
28 |
12 |
$3K |
| D1206 |
Topical application of fluoride varnish |
144 |
138 |
$2K |
| D1351 |
Sealant - per tooth |
76 |
16 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$651.68 |
| D0330 |
Panoramic radiographic image |
15 |
14 |
$211.63 |
| D0603 |
|
185 |
184 |
$0.00 |
| D0601 |
|
13 |
12 |
$0.00 |