MARK CHOI DENTAL CORPORATION
NPI: 1639462054
· WOODLAND, CA 95695
· Pediatric Dentist
· NPI assigned 05/18/2011
$124K
Total Medicaid Paid
Provider Details
| Authorized Official | CHOI, MARK (PRESIDENT) |
| NPI Enumeration Date | 05/18/2011 |
Related Entities
Other providers sharing the same authorized official: CHOI, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
888 |
$19K |
| 2019 |
952 |
$24K |
| 2020 |
689 |
$17K |
| 2021 |
842 |
$20K |
| 2022 |
507 |
$22K |
| 2023 |
284 |
$13K |
| 2024 |
213 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,363 |
1,357 |
$45K |
| D0120 |
Periodic oral evaluation - established patient |
843 |
841 |
$43K |
| D1206 |
Topical application of fluoride varnish |
1,359 |
1,349 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
216 |
216 |
$13K |
| D0272 |
Bitewings - two radiographic images |
482 |
477 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
100 |
60 |
$394.20 |
| D9430 |
|
12 |
12 |
$384.00 |