MOON, KYUNGSIK
NPI: 1730569856
· BEDFORD, OH 44146
· General Practice Dentistry
· NPI assigned 06/03/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
406 |
$12K |
| 2019 |
68 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
126 |
124 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
143 |
141 |
$4K |
| D1110 |
Prophylaxis - adult |
61 |
61 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
103 |
103 |
$2K |
| D0274 |
Bitewings - four radiographic images |
41 |
41 |
$844.00 |