NPI: 1659885523 · TAMUNING, GU 96913 · General Practice Dentistry · NPI assigned 11/29/2017
| Authorized Official | KIM, JONGSUNG (CEO) |
| NPI Enumeration Date | 11/29/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 113 | $4K |
| 2022 | 425 | $24K |
| 2023 | 383 | $13K |
| 2024 | 101 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9310 | 294 | 290 | $18K | |
| D2950 | 54 | 52 | $7K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 13 | 13 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 352 | 347 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 297 | 291 | $4K |
| D2161 | 12 | 12 | $2K |