PARK, JUN SUP
NPI: 1669907663
· DOWNEY, CA 90241
· Dentist
· NPI assigned 04/27/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
92 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$625.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$336.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$238.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$126.00 |