KIM, TAE
NPI: 1750994414
· CARROLLTON, TX 75006
· Dentist
· NPI assigned 08/24/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
144 |
$3K |
| 2023 |
276 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0145 |
Oral evaluation for a patient under three years of age |
83 |
83 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
69 |
69 |
$882.00 |
| D1120 |
Prophylaxis - child |
27 |
27 |
$771.75 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$565.12 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$113.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$103.59 |
| D0603 |
|
201 |
200 |
$0.19 |