DONGHYUN NOH DMD LLC
NPI: 1487011805
· WALPOLE, MA 02081
· General Practice Dentistry
· NPI assigned 01/16/2016
Provider Details
| Authorized Official | NOH, DONGHYUN (DMD/OWNER) |
| NPI Enumeration Date | 01/16/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
129 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
39 |
38 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$639.00 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
31 |
$454.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$420.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
17 |
$352.00 |