S. JANG DDS INCORPORATED
NPI: 1447634373
· SACRAMENTO, CA 95822
· Dentist
· NPI assigned 07/09/2015
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | POOLE, MEGAN (OPERATIONS MANAGER) |
| NPI Enumeration Date | 07/09/2015 |
Related Entities
Other providers sharing the same authorized official: POOLE, MEGAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,531 |
$54K |
| 2019 |
1,469 |
$23K |
| 2020 |
717 |
$16K |
| 2021 |
756 |
$21K |
| 2022 |
93 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
777 |
756 |
$38K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,337 |
632 |
$33K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
510 |
428 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
978 |
911 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
64 |
45 |
$5K |
| D1999 |
|
358 |
338 |
$3K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
15 |
12 |
$2K |
| D9993 |
|
472 |
454 |
$1K |
| D1310 |
|
471 |
454 |
$1K |
| D1120 |
Prophylaxis - child |
70 |
68 |
$1K |
| D1206 |
Topical application of fluoride varnish |
69 |
67 |
$472.00 |
| D0603 |
|
418 |
404 |
$300.00 |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$120.00 |