KIM, ANDREW
NPI: 1124182357
· HAZELWOOD, MO 63042
· Pediatric Dentist
· NPI assigned 12/21/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
277 |
$6K |
| 2019 |
275 |
$5K |
| 2020 |
68 |
$1K |
| 2023 |
39 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
201 |
194 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
200 |
198 |
$5K |
| D1206 |
Topical application of fluoride varnish |
210 |
205 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
21 |
21 |
$364.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$158.60 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$98.00 |