DENTAL PARK OF SAN JUAN PLLC
NPI: 1558969790
· SAN JUAN, TX 78589
· Dentist
· NPI assigned 10/10/2020
Provider Details
| Authorized Official | PARK, CHAN (OWNER) |
| NPI Enumeration Date | 10/10/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
705 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
185 |
35 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
74 |
73 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
149 |
57 |
$1K |
| D1120 |
Prophylaxis - child |
37 |
37 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
62 |
61 |
$852.60 |
| D0220 |
Intraoral - periapical first radiographic image |
59 |
58 |
$536.30 |
| D0330 |
Panoramic radiographic image |
33 |
32 |
$335.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$163.66 |
| D0603 |
|
93 |
90 |
$0.00 |