YOU, JAE YEON
NPI: 1215594346
· WINTER HAVEN, FL 33881
· General Practice Dentistry
· NPI assigned 05/23/2019
$627.88
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
52 |
$627.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
18 |
18 |
$320.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$182.88 |
| D0230 |
Intraoral - periapical each additional radiographic image |
19 |
13 |
$125.00 |