NPI: 1346529484 · QUEENSBURY, NY 12804 · Dentist · NPI assigned 08/08/2011
| Authorized Official | SHIN, JUNGWON (OWNER/DENTIST) |
| NPI Enumeration Date | 08/08/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $377.00 |
| 2019 | 13 | $354.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 26 | 26 | $731.38 |