NPI: 1558085563 · FORT STOCKTON, TX 79735 · General Practice Dentistry · NPI assigned 10/03/2022
| Authorized Official | KIM, NICKOLAS (DENTIST) |
| NPI Enumeration Date | 10/03/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 6,328 | $198K |
| 2024 | 7,084 | $217K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,477 | 402 | $143K | |
| D2391 | 617 | 223 | $47K | |
| D0145 | 312 | 300 | $40K | |
| D0120 | 1,318 | 1,295 | $35K | |
| D1120 | 1,024 | 1,008 | $35K | |
| D1110 | 468 | 457 | $23K | |
| D1208 | 1,521 | 1,492 | $21K | |
| D0272 | 953 | 937 | $20K | |
| D0220 | 1,601 | 1,540 | $15K | |
| D0274 | 490 | 481 | $14K | |
| D0230 | 1,499 | 1,473 | $14K | |
| D0330 | 170 | 164 | $4K | |
| D0150 | 101 | 99 | $3K | |
| D0210 | 14 | 14 | $988.96 | |
| D0603 | 1,847 | 1,812 | $0.00 |