KIM, JENNIFER
NPI: 1871147447
· WASHINGTON, DC 20012
· Dentist
· NPI assigned 07/31/2019
$874.23
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
38 |
$874.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$538.86 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$335.37 |