KIM, SOOK
NPI: 1043410293
· DULUTH, GA 30096
· Dentist
· NPI assigned 07/24/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52 |
$0.00 |
| 2019 |
405 |
$7K |
| 2020 |
2,978 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
251 |
249 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
83 |
83 |
$8K |
| D1110 |
Prophylaxis - adult |
196 |
194 |
$3K |
| D0330 |
Panoramic radiographic image |
220 |
218 |
$1K |
| D1330 |
|
335 |
331 |
$656.00 |
| D1999 |
|
15 |
15 |
$600.00 |
| D0220 |
Intraoral - periapical first radiographic image |
374 |
366 |
$415.60 |
| D1351 |
Sealant - per tooth |
57 |
14 |
$308.00 |
| D1120 |
Prophylaxis - child |
68 |
67 |
$83.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,495 |
352 |
$7.35 |
| D1208 |
Topical application of fluoride, excluding varnish |
341 |
337 |
$0.00 |