SNOW WHITE DENTAL OFFICE, WEONSUK JANG, D.M.D., INC.
NPI: 1306035456
· CITRUS HEIGHTS, CA 95621
· General Practice Dentistry
· NPI assigned 10/15/2007
Provider Details
| Authorized Official | JANG, WEONSUK (OWNER) |
| NPI Enumeration Date | 10/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
170 |
$3K |
| 2019 |
244 |
$7K |
| 2020 |
219 |
$9K |
| 2021 |
250 |
$11K |
| 2022 |
227 |
$8K |
| 2023 |
45 |
$687.40 |
| 2024 |
462 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
205 |
205 |
$18K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
193 |
78 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
133 |
133 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
419 |
418 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
339 |
332 |
$5K |
| D9110 |
|
59 |
59 |
$3K |
| D9430 |
|
100 |
89 |
$3K |
| D2330 |
|
33 |
12 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
42 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
37 |
$430.00 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$415.25 |
| D0350 |
|
16 |
15 |
$240.00 |