ELITE DENTAL GROUP CO SPRINGS INC
NPI: 1104530542
· COLORADO SPRINGS, CO 80905
· Dental Clinic/Center
· NPI assigned 01/10/2023
Provider Details
| Authorized Official | JUNG, KYU (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 01/10/2023 |
Related Entities
Other providers sharing the same authorized official: JUNG, KYU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
51 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
19 |
19 |
$821.37 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$487.32 |
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$471.20 |