CHEN, JACK
NPI: 1194883694
· MONTEREY PARK, CA 91755
· Dentist
· NPI assigned 12/05/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
759 |
$13K |
| 2019 |
277 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
79 |
79 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
353 |
191 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
256 |
255 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
182 |
153 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
31 |
31 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$360.00 |