JOO, ILCHEON
NPI: 1063530509
· PINE GROVE, PA 17963
· Dentist
· NPI assigned 03/26/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
69 |
$2K |
| 2024 |
124 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
78 |
77 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
62 |
62 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$520.00 |
| D1330 |
|
26 |
26 |
$288.08 |