LAIJ, KHIN
NPI: 1083782544
· MATTOON, IL 61938
· General Practice Dentistry
· NPI assigned 12/01/2006
$305K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,051 |
$159K |
| 2019 |
2,571 |
$120K |
| 2020 |
704 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
818 |
711 |
$147K |
| D1120 |
Prophylaxis - child |
1,583 |
1,490 |
$60K |
| D1206 |
Topical application of fluoride varnish |
1,580 |
1,475 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,464 |
1,368 |
$37K |
| D1351 |
Sealant - per tooth |
292 |
117 |
$14K |
| D0274 |
Bitewings - four radiographic images |
547 |
512 |
$8K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
15 |
$364.00 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$253.80 |