SILVER SPRING DENTAL CLINIC LLC
NPI: 1578898680
· SILVER SPRING, MD 20904
· General Practice Dentistry
· NPI assigned 10/07/2009
Provider Details
| Authorized Official | KIM, SHIN (DENTIST) |
| NPI Enumeration Date | 10/07/2009 |
Related Entities
Other providers sharing the same authorized official: KIM, SHIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$885.00 |
| 2019 |
85 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
62 |
52 |
$1K |
| D1120 |
Prophylaxis - child |
22 |
16 |
$677.92 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
20 |
$581.60 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$264.00 |