NPI: 1689795593 · ISSAQUAH, WA 98027 · General Practice Dentistry · NPI assigned 04/02/2007
| Authorized Official | NGUYEN, DZON (PRESIDENT) |
| NPI Enumeration Date | 04/02/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 80 | $1K |
| 2019 | 89 | $2K |
| 2020 | 209 | $4K |
| 2021 | 282 | $5K |
| 2022 | 457 | $9K |
| 2023 | 664 | $13K |
| 2024 | 873 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 829 | 771 | $17K |
| D0120 | Periodic oral evaluation - established patient | 591 | 555 | $16K |
| D1120 | Prophylaxis - child | 685 | 636 | $15K |
| D0274 | Bitewings - four radiographic images | 85 | 76 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 136 | 111 | $975.82 |
| D0230 | Intraoral - periapical each additional radiographic image | 231 | 83 | $462.93 |
| D1999 | 32 | 29 | $395.00 | |
| D1330 | 53 | 45 | $0.00 | |
| D0603 | 12 | 12 | $0.00 |