DR KWAK YONSEI DENTAL CORPORATION
NPI: 1801397369
· LOS ANGELES, CA 90006
· Dentist
· NPI assigned 02/21/2018
$368K
Total Medicaid Paid
Provider Details
| Authorized Official | KWAK, KYOUNG (CEO) |
| NPI Enumeration Date | 02/21/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
696 |
$32K |
| 2019 |
1,476 |
$67K |
| 2020 |
1,064 |
$44K |
| 2021 |
1,699 |
$71K |
| 2022 |
1,463 |
$66K |
| 2023 |
1,160 |
$55K |
| 2024 |
673 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,328 |
1,327 |
$116K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,285 |
1,284 |
$84K |
| D0120 |
Periodic oral evaluation - established patient |
1,102 |
1,096 |
$72K |
| D0330 |
Panoramic radiographic image |
1,293 |
1,293 |
$38K |
| D1206 |
Topical application of fluoride varnish |
1,167 |
1,167 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
966 |
916 |
$11K |
| D9430 |
|
315 |
313 |
$10K |
| D1120 |
Prophylaxis - child |
173 |
171 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
358 |
356 |
$4K |
| D0250 |
|
152 |
142 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
15 |
12 |
$861.00 |
| D0350 |
|
77 |
65 |
$364.80 |