OH, SOOHYUN
NPI: 1427787860
· HURST, TX 76053
· General Practice Dentistry
· NPI assigned 06/09/2022
$138.43
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
43 |
$138.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
12 |
$75.63 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$62.80 |
| D0602 |
|
15 |
15 |
$0.00 |