PACIFIC DENTAL & DENTURE CLINIC,INC
NPI: 1619411568
· FEDERAL WAY, WA 98003
· Dental Clinic/Center
· NPI assigned 12/12/2016
Provider Details
| Authorized Official | JUNG, DUSIK (OWNER/DENTURIST) |
| NPI Enumeration Date | 12/12/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
68 |
$419.04 |
| 2019 |
65 |
$9K |
| 2020 |
84 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
15 |
15 |
$5K |
| D5120 |
|
12 |
12 |
$4K |
| D1999 |
|
71 |
63 |
$960.00 |
| D0220 |
Intraoral - periapical first radiographic image |
119 |
116 |
$711.80 |