TOM KEH JENS WANG A PROFESSIONAL DENTAL CORP
NPI: 1699897223
· SAN GABRIEL, CA 91776
· General Practice Dentistry
· NPI assigned 04/04/2007
Provider Details
| Authorized Official | WANG, TOM (PRESIDENT) |
| NPI Enumeration Date | 04/04/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$861.00 |
| 2019 |
165 |
$7K |
| 2020 |
28 |
$2K |
| 2022 |
43 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7510 |
|
109 |
76 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
91 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
51 |
$624.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
41 |
41 |
$446.00 |