MOON, YOODONG
NPI: 1033550199
· ANCHORAGE, AK 99503
· Dentist
· NPI assigned 07/17/2013
$157K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
340 |
$9K |
| 2019 |
915 |
$24K |
| 2020 |
824 |
$21K |
| 2021 |
1,201 |
$31K |
| 2022 |
1,043 |
$27K |
| 2023 |
735 |
$20K |
| 2024 |
988 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,777 |
1,729 |
$73K |
| D0120 |
Periodic oral evaluation - established patient |
1,413 |
1,381 |
$40K |
| D1206 |
Topical application of fluoride varnish |
1,269 |
1,236 |
$33K |
| D0220 |
Intraoral - periapical first radiographic image |
920 |
878 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
531 |
509 |
$2K |
| D0274 |
Bitewings - four radiographic images |
85 |
81 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$998.52 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$320.04 |