BSJC, LLC
NPI: 1659885523
· TAMUNING, GU 96913
· General Practice Dentistry
· NPI assigned 11/29/2017
Provider Details
| Authorized Official | KIM, JONGSUNG (CEO) |
| NPI Enumeration Date | 11/29/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
113 |
$4K |
| 2022 |
425 |
$24K |
| 2023 |
383 |
$13K |
| 2024 |
101 |
$3K |
Billing Codes
| 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 |