JUN, DANIEL
NPI: 1770867822
· LA HABRA HEIGHTS, CA 90631
· General Practice Dentistry
· NPI assigned 10/07/2011
$515.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
618 |
$0.00 |
| 2021 |
2,722 |
$515.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
271 |
265 |
$170.00 |
| D9430 |
|
223 |
208 |
$100.00 |
| D1206 |
Topical application of fluoride varnish |
448 |
445 |
$100.00 |
| D0270 |
|
142 |
136 |
$50.00 |
| D0220 |
Intraoral - periapical first radiographic image |
691 |
457 |
$50.00 |
| D0210 |
Intraoral - complete series of radiographic images |
103 |
102 |
$30.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
165 |
164 |
$15.00 |
| D1120 |
Prophylaxis - child |
140 |
140 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
267 |
265 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
574 |
305 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
316 |
309 |
$0.00 |