CROWN CENTERS LLC
NPI: 1457868044
· BROOKLINE, MA 02446
· General Practice Dentistry
· NPI assigned 01/04/2018
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, HYUNG (DENTIST / MEMBER OF LLC) |
| NPI Enumeration Date | 01/04/2018 |
Related Entities
Other providers sharing the same authorized official: KIM, HYUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
102 |
$3K |
| 2021 |
298 |
$13K |
| 2022 |
607 |
$25K |
| 2023 |
959 |
$35K |
| 2024 |
1,210 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,629 |
1,575 |
$84K |
| D0120 |
Periodic oral evaluation - established patient |
668 |
648 |
$15K |
| D0274 |
Bitewings - four radiographic images |
237 |
228 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
331 |
317 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
76 |
70 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
185 |
150 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
36 |
34 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$434.00 |