ROH, JEONG-HO
NPI: 1770758344
· SHERMAN OAKS, CA 91411
· General Practice Dentistry
· NPI assigned 04/24/2008
$384.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
121 |
$211.90 |
| 2022 |
57 |
$70.20 |
| 2023 |
24 |
$101.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$169.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
164 |
52 |
$156.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$59.00 |