KIM, SUNG JOO
NPI: 1134272362
· FULLERTON, CA 92835
· Dentist
· NPI assigned 01/19/2007
Deactivated NPI
· This NPI was deactivated on 11/02/2015. Reactivated 11/02/2015.
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
293 |
$5K |
| 2019 |
161 |
$5K |
| 2020 |
39 |
$3K |
| 2021 |
186 |
$4K |
| 2022 |
683 |
$11K |
| 2023 |
429 |
$11K |
| 2024 |
450 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
336 |
336 |
$20K |
| D1110 |
Prophylaxis - adult |
104 |
104 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,285 |
498 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$4K |
| D1120 |
Prophylaxis - child |
100 |
100 |
$3K |
| D0272 |
Bitewings - two radiographic images |
190 |
189 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
131 |
130 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
27 |
27 |
$1K |