HONG HE DDS, INC
NPI: 1215106612
· CUPERTINO, CA 95014
· General Practice Dentistry
· NPI assigned 02/29/2008
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | HE, HONG (PRESIDENT) |
| NPI Enumeration Date | 02/29/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46 |
$455.00 |
| 2019 |
227 |
$4K |
| 2020 |
222 |
$5K |
| 2021 |
878 |
$26K |
| 2022 |
1,294 |
$47K |
| 2023 |
794 |
$28K |
| 2024 |
353 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
416 |
412 |
$37K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
418 |
418 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
264 |
264 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,109 |
1,103 |
$15K |
| D1120 |
Prophylaxis - child |
170 |
170 |
$8K |
| D0274 |
Bitewings - four radiographic images |
301 |
301 |
$6K |
| D0330 |
Panoramic radiographic image |
136 |
136 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,000 |
407 |
$4K |