YK DENTAL CENTREVILLE PC
NPI: 1528558350
· CENTREVILLE, VA 20121
· Dental Clinic/Center
· NPI assigned 05/17/2018
Provider Details
| Authorized Official | KIM, YOUNGDAE (OWNER DENTIST) |
| NPI Enumeration Date | 05/17/2018 |
Related Entities
Other providers sharing the same authorized official: KIM, YOUNGDAE
| Provider | City | State | Total Paid |
|---|
| YK DENTAL PC |
SPRINGFIELD |
VA |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
199 |
$4K |
| 2020 |
105 |
$2K |
| 2021 |
17 |
$469.20 |
| 2023 |
53 |
$1K |
| 2024 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
163 |
108 |
$3K |
| D9310 |
|
12 |
12 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
59 |
57 |
$935.55 |
| D0274 |
Bitewings - four radiographic images |
42 |
37 |
$883.20 |
| D1110 |
Prophylaxis - adult |
15 |
13 |
$566.28 |
| D0330 |
Panoramic radiographic image |
27 |
14 |
$562.58 |
| D0120 |
Periodic oral evaluation - established patient |
41 |
38 |
$241.80 |
| D0140 |
Limited oral evaluation - problem focused |
28 |
25 |
$0.00 |