SJ KANG DENTAL ONE, PLLC
NPI: 1891492021
· GRAND PRAIRIE, TX 75050
· Dentist
· NPI assigned 02/08/2023
Provider Details
| Authorized Official | RYU, HOJOONG (MANAGING MEMBER) |
| NPI Enumeration Date | 02/08/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
531 |
$13K |
| 2024 |
181 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
47 |
19 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
77 |
77 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
222 |
107 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
105 |
105 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
110 |
108 |
$1K |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$932.96 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$761.42 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$514.50 |
| D0603 |
|
95 |
94 |
$0.00 |