CHARM PEDIATRIC DENTISTRY, LLC
NPI: 1649439613
· BLUE BELL, PA 19422
· Pediatric Dentist
· NPI assigned 06/05/2008
$454K
Total Medicaid Paid
Provider Details
| Authorized Official | SUH, YOOSUNG (OWNER) |
| NPI Enumeration Date | 06/05/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
15 |
$300.00 |
| 2023 |
315 |
$6K |
| 2024 |
20,962 |
$448K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
2,026 |
456 |
$75K |
| D1208 |
|
2,911 |
2,773 |
$61K |
| D0120 |
|
2,295 |
2,171 |
$48K |
| D1120 |
|
1,937 |
1,842 |
$47K |
| D1110 |
|
1,213 |
1,168 |
$44K |
| D2392 |
|
436 |
305 |
$29K |
| D9230 |
|
748 |
651 |
$27K |
| D2391 |
|
442 |
297 |
$24K |
| D0603 |
|
1,668 |
1,596 |
$16K |
| D0274 |
|
471 |
448 |
$14K |
| D0272 |
|
715 |
685 |
$12K |
| D0330 |
|
290 |
276 |
$10K |
| D1330 |
|
1,711 |
1,640 |
$8K |
| D1310 |
|
1,706 |
1,636 |
$8K |
| D1354 |
|
753 |
199 |
$8K |
| D0220 |
|
809 |
673 |
$6K |
| D2930 |
|
39 |
31 |
$5K |
| D0230 |
|
501 |
425 |
$4K |
| D0150 |
|
186 |
176 |
$4K |
| D0140 |
|
127 |
118 |
$3K |
| D7140 |
|
22 |
13 |
$1K |
| D3120 |
|
65 |
47 |
$64.80 |
| D9215 |
|
221 |
186 |
$0.00 |