STEPHANIE KANG, DMD, PLLC
NPI: 1154022317
· MOUNTLAKE TERRACE, WA 98043
· Dental Clinic/Center
· NPI assigned 03/15/2023
$900.99
Total Medicaid Paid
Provider Details
| Authorized Official | KANG, STEPHANIE (DENTIST) |
| NPI Enumeration Date | 03/15/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
25 |
$900.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$575.12 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$325.87 |