RUSSELL P KIM DDS LLC
NPI: 1689128480
· KANEOHE, HI 96744
· Dentist
· NPI assigned 08/09/2016
Provider Details
| Authorized Official | KIM, RUSSELL (OWNER) |
| NPI Enumeration Date | 08/09/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
25 |
$721.20 |
| 2024 |
65 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
51 |
51 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$391.20 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$330.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$322.74 |