JANG KIL YI DDS PROFESSIONAL DENTAL CORPORATION
NPI: 1588084040
· HUNTINGTON PARK, CA 90255
· Dentist
· NPI assigned 04/23/2014
Provider Details
| Authorized Official | YI, JANG (DENTIST) |
| NPI Enumeration Date | 04/23/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
372 |
$11K |
| 2019 |
55 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
82 |
80 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
66 |
65 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
62 |
61 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
58 |
57 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
159 |
69 |
$672.90 |