SIOE HWA ONG DDS INC
NPI: 1598800948
· ARTESIA, CA 90701
· Dentist
· NPI assigned 02/21/2007
$671.25
Total Medicaid Paid
Provider Details
| Authorized Official | ONG, HAMLET (OWNER PRESIDENT) |
| NPI Enumeration Date | 02/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
66 |
$671.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$393.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$228.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
14 |
$26.25 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$24.00 |