KIM, JOSHUA
NPI: 1205145489
· BEAVERTON, OR 97005
· Dentist
· NPI assigned 10/05/2010
$581.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$64.00 |
| 2020 |
12 |
$517.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$517.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$38.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$26.00 |