KIM, DANA
NPI: 1437630449
· LITTLE NECK, NY 11362
· General Practice Dentistry
· NPI assigned 08/27/2018
$383.64
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$383.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$249.48 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$134.16 |