JAE YON CHUNG DMD DENTAL CORPORATION
NPI: 1245490671
· LOS ANGELES, CA 90006
· Dentist
· NPI assigned 06/10/2008
$1.38M
Total Medicaid Paid
Provider Details
| Authorized Official | CHUNG, JAE (PRESIDENT) |
| NPI Enumeration Date | 06/10/2008 |
Related Entities
Other providers sharing the same authorized official: CHUNG, JAE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,166 |
$212K |
| 2019 |
8,470 |
$231K |
| 2020 |
3,054 |
$80K |
| 2021 |
5,544 |
$152K |
| 2022 |
6,902 |
$250K |
| 2023 |
6,232 |
$228K |
| 2024 |
5,832 |
$227K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
6,995 |
6,932 |
$380K |
| D1120 |
Prophylaxis - child |
5,774 |
5,727 |
$218K |
| D0230 |
Intraoral - periapical each additional radiographic image |
8,808 |
8,564 |
$198K |
| D0274 |
Bitewings - four radiographic images |
5,972 |
5,917 |
$125K |
| D1110 |
Prophylaxis - adult |
1,345 |
1,337 |
$116K |
| D1351 |
Sealant - per tooth |
3,691 |
849 |
$100K |
| D1208 |
Topical application of fluoride, excluding varnish |
8,164 |
8,097 |
$97K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
857 |
853 |
$51K |
| D0330 |
Panoramic radiographic image |
1,682 |
1,663 |
$49K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
296 |
206 |
$20K |
| D0272 |
Bitewings - two radiographic images |
1,360 |
1,357 |
$16K |
| D2140 |
|
61 |
43 |
$3K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
22 |
19 |
$2K |
| D7111 |
|
34 |
24 |
$2K |
| D0350 |
|
139 |
124 |
$2K |