KIM, MARY
NPI: 1053729467
· NILES, IL 60714
· General Practice Dentistry
· NPI assigned 07/29/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$0.00 |
| 2019 |
112 |
$2K |
| 2021 |
26 |
$2K |
| 2023 |
30 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
24 |
$2K |
| D0999 |
Unspecified diagnostic procedure, by report |
130 |
97 |
$2K |
| D1120 |
Prophylaxis - child |
15 |
15 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$0.00 |