MLK COMMUNITY DENTAL & DENTURE CLINIC
NPI: 1861126328
· SEATTLE, WA 98118
· General Practice Dentistry
· NPI assigned 07/11/2022
Provider Details
| Authorized Official | KIM, SUN (MANAGER) |
| NPI Enumeration Date | 07/11/2022 |
Related Entities
Other providers sharing the same authorized official: KIM, SUN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
648 |
$18K |
| 2024 |
1,993 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4341 |
|
387 |
96 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
315 |
303 |
$14K |
| D0330 |
Panoramic radiographic image |
285 |
277 |
$11K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
95 |
15 |
$10K |
| D1206 |
Topical application of fluoride varnish |
255 |
244 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
404 |
379 |
$5K |
| D0274 |
Bitewings - four radiographic images |
296 |
287 |
$4K |
| D1110 |
Prophylaxis - adult |
76 |
74 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
20 |
19 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
331 |
297 |
$843.21 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$467.36 |
| D0350 |
|
164 |
161 |
$0.00 |