KIM, DIANE
NPI: 1750939047
· HUMBLE, TX 77338
· Dentist
· NPI assigned 08/29/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
83 |
$2K |
| 2023 |
12 |
$150.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$524.48 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$434.25 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$339.12 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$280.56 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$176.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
16 |
$172.65 |