NPI: 1821425232 · MORENO VALLEY, CA 92553 · Dentist · NPI assigned 09/30/2013
| Authorized Official | SHIN, SANG GYU (CEO) |
| NPI Enumeration Date | 09/30/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,848 | $275K |
| 2019 | 14,621 | $296K |
| 2020 | 12,458 | $248K |
| 2021 | 19,032 | $373K |
| 2022 | 20,230 | $443K |
| 2023 | 23,389 | $568K |
| 2024 | 26,151 | $676K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 6,502 | 6,472 | $370K | |
| D0350 | 37,698 | 10,115 | $361K | |
| D2392 | 4,164 | 2,431 | $279K | |
| D2391 | 5,125 | 2,569 | $279K | |
| D0150 | 3,856 | 3,849 | $241K | |
| D1120 | 5,817 | 5,790 | $229K | |
| D0230 | 43,984 | 8,266 | $179K | |
| D2751 | 353 | 311 | $167K | |
| D0210 | 3,454 | 3,451 | $163K | |
| D1110 | 1,286 | 1,281 | $113K | |
| D0274 | 5,066 | 5,035 | $107K | |
| D1208 | 7,129 | 7,096 | $81K | |
| D4910 | 969 | 961 | $74K | |
| D7210 | 555 | 356 | $65K | |
| D4341 | 751 | 205 | $53K | |
| D1351 | 1,815 | 502 | $44K | |
| D9430 | 1,045 | 1,008 | $33K | |
| D0272 | 1,905 | 1,898 | $22K | |
| D2393 | 73 | 57 | $6K | |
| D4342 | 76 | 29 | $3K | |
| D2954 | 25 | 24 | $3K | |
| D2330 | 22 | 13 | $2K | |
| D0140 | 40 | 40 | $1K | |
| D7111 | 19 | 13 | $1K |