OKEMOS PEDIATRIC DENTISTRY
NPI: 1154065977
· OKEMOS, MI 48864
· Pediatric Dentist
· NPI assigned 04/27/2022
Provider Details
| Authorized Official | JUNG, MELVIN (PRESIDENT) |
| NPI Enumeration Date | 04/27/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
82 |
$2K |
| 2023 |
1,958 |
$46K |
| 2024 |
1,497 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
879 |
879 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
838 |
838 |
$23K |
| D1206 |
Topical application of fluoride varnish |
920 |
920 |
$22K |
| D0272 |
Bitewings - two radiographic images |
349 |
349 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
228 |
225 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
46 |
26 |
$540.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
277 |
257 |
$0.00 |