JINO PARK DDS DENTAL CORPORATION
NPI: 1164110151
· LOMA LINDA, CA 92354
· Dental Clinic/Center
· NPI assigned 04/27/2023
$36.53
Total Medicaid Paid
Provider Details
| Authorized Official | PARK, JINO (OWNER) |
| NPI Enumeration Date | 04/27/2023 |
Related Entities
Other providers sharing the same authorized official: PARK, JINO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
17 |
$36.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
12 |
$36.53 |