KIM, HYUN
NPI: 1497930457
· MORENO VALLEY, CA 92553
· Dentist
· NPI assigned 01/08/2008
Deactivated NPI
· This NPI was deactivated on 04/19/2021. Reactivated 05/10/2021.
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
215 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
57 |
57 |
$3K |
| D1110 |
Prophylaxis - adult |
30 |
30 |
$1K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$715.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$624.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
52 |
52 |
$437.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$273.00 |
| D0274 |
Bitewings - four radiographic images |
22 |
22 |
$234.00 |