HANOVER PEDIATRIC DENTISTRY
NPI: 1053174938
· HANOVER, PA 17331
· Pediatric Dentist
· NPI assigned 02/02/2024
Provider Details
| Authorized Official | KIM, JAEPIL (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 02/02/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
61 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
46 |
$1K |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$270.00 |