WALNUT DENTAL GROUP
NPI: 1710303201
· FRAMINGHAM, MA 01702
· Dentist
· NPI assigned 03/09/2014
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | YOUN, JUNGMEE (PRESIDENT) |
| NPI Enumeration Date | 03/09/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,161 |
$37K |
| 2019 |
1,228 |
$33K |
| 2020 |
187 |
$4K |
| 2021 |
442 |
$13K |
| 2022 |
330 |
$12K |
| 2023 |
317 |
$11K |
| 2024 |
257 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
823 |
804 |
$41K |
| D1206 |
Topical application of fluoride varnish |
713 |
705 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
827 |
810 |
$19K |
| D4381 |
|
120 |
13 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
594 |
560 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
337 |
281 |
$5K |
| D1330 |
|
366 |
366 |
$5K |
| D0274 |
Bitewings - four radiographic images |
84 |
84 |
$3K |
| D4910 |
|
45 |
42 |
$3K |
| D9110 |
|
13 |
12 |
$429.00 |