APPLE FAMILY DENTISTRY
NPI: 1629309182
· NORTH WALES, PA 19454
· General Practice Dentistry
· NPI assigned 01/22/2010
Provider Details
| Authorized Official | KIM, TAE SOO (PRESIDENT) |
| NPI Enumeration Date | 01/22/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
710 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
66 |
59 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
63 |
57 |
$6K |
| D1110 |
Prophylaxis - adult |
174 |
169 |
$5K |
| D0274 |
Bitewings - four radiographic images |
162 |
157 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
163 |
160 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
82 |
78 |
$559.44 |