NPI: 1881152585 · GREENWOOD, IN 46142 · Dentist · NPI assigned 03/12/2019
| Authorized Official | KONG, SUNG (OWNER) |
| NPI Enumeration Date | 03/12/2019 |
Other providers sharing the same authorized official: KONG, SUNG
| Provider | City | State | Total Paid |
|---|---|---|---|
| BRIGHT SMILE DENTAL CARE | FISHERS | IN | $14K |
| WEST 38TH DENTAL, LTD | INDIANAPOLIS | IN | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $157.69 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $157.69 |