PARK, SUNG
NPI: 1538427786
· WOODSIDE, NY 11377
· Dentist
· NPI assigned 04/25/2012
$772.98
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
35 |
$287.98 |
| 2019 |
27 |
$485.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$687.56 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
18 |
$85.42 |