KWON, SEOYEON
NPI: 1659059830
· IRVINGTON, NJ 07111
· General Practice Dentistry
· NPI assigned 07/07/2023
$827.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
68 |
$827.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$450.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$225.00 |
| D0220 |
Intraoral - periapical first radiographic image |
20 |
20 |
$80.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
18 |
$72.00 |