KIM, JUNG KEUN
NPI: 1730588617
· MOUNT PLEASANT, MI 48858
· General Practice Dentistry
· NPI assigned 08/17/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
173 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
60 |
60 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
12 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$130.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
25 |
$75.00 |