PARK, SANGTAE
NPI: 1841579901
· WILLOWBROOK, IL 60527
· General Practice Dentistry
· NPI assigned 08/08/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
171 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
41 |
35 |
$1K |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$468.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$357.85 |
| D0230 |
Intraoral - periapical each additional radiographic image |
41 |
34 |
$285.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$219.70 |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
34 |
$196.00 |