GRACE H CHUNG, PLLC
NPI: 1760848311
· HENDERSON, NV 89052
· Dental Clinic/Center
· NPI assigned 01/13/2016
$863.84
Total Medicaid Paid
Provider Details
| Authorized Official | CHUNG, GRACE (OWNER DENTIST) |
| NPI Enumeration Date | 01/13/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
41 |
$863.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$455.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$282.84 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$126.00 |