JAE J. KIM, D.D.S., INC
NPI: 1487045944
· ROWLAND HEIGHTS, CA 91748
· Dentist
· NPI assigned 02/05/2015
Provider Details
| Authorized Official | KIM, JAE JONG (PRESIDENT) |
| NPI Enumeration Date | 02/05/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
72 |
$3K |
| 2019 |
40 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
53 |
52 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$585.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
12 |
$120.00 |