MOON, EUN SANG
NPI: 1801395538
· MONROE, WA 98272
· General Practice Dentistry
· NPI assigned 02/08/2018
$430K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
653 |
$126K |
| 2022 |
1,618 |
$296K |
| 2023 |
47 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,325 |
1,323 |
$316K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
79 |
72 |
$71K |
| D8999 |
|
835 |
831 |
$36K |
| D8660 |
|
79 |
79 |
$8K |