TAE WOO KWON, DDS, INC
NPI: 1730802752
· SELMA, CA 93662
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/23/2022
$637K
Total Medicaid Paid
Provider Details
| Authorized Official | KWON, TAE WOO (PRESIDENT) |
| NPI Enumeration Date | 09/23/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
582 |
$94K |
| 2024 |
2,160 |
$544K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,009 |
1,008 |
$305K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
261 |
261 |
$274K |
| D0470 |
|
262 |
257 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
453 |
452 |
$16K |
| D0330 |
Panoramic radiographic image |
540 |
533 |
$15K |
| D0340 |
|
217 |
217 |
$11K |