JINO PARK DDS INC
NPI: 1568092401
· LAKE FOREST, CA 92630
· Dental Clinic/Center
· NPI assigned 01/20/2020
Provider Details
| Authorized Official | PARK, JINO (CEO) |
| NPI Enumeration Date | 01/20/2020 |
Related Entities
Other providers sharing the same authorized official: PARK, JINO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$825.00 |
| 2024 |
55 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
55 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$624.00 |