MIYOUNG YOON DENTAL CORPORATION
NPI: 1184246092
· LA CRESCENTA, CA 91214
· Dental Clinic/Center
· NPI assigned 05/13/2020
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | YOON, MIYOUNG (PRESIDENT) |
| NPI Enumeration Date | 05/13/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
105 |
$3K |
| 2021 |
751 |
$19K |
| 2022 |
879 |
$22K |
| 2023 |
1,485 |
$36K |
| 2024 |
924 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
346 |
334 |
$26K |
| D1110 |
Prophylaxis - adult |
164 |
164 |
$15K |
| D1206 |
Topical application of fluoride varnish |
904 |
890 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
212 |
212 |
$14K |
| D1120 |
Prophylaxis - child |
225 |
214 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
160 |
160 |
$8K |
| D0350 |
|
629 |
166 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,388 |
276 |
$6K |
| D0274 |
Bitewings - four radiographic images |
116 |
115 |
$2K |