SU, JIE
NPI: 1891995783
· PLANO, TX 75024
· Pediatric Dentist
· NPI assigned 07/19/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,332 |
$19K |
| 2024 |
442 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
220 |
198 |
$6K |
| D1120 |
Prophylaxis - child |
137 |
123 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
347 |
179 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
226 |
203 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
212 |
189 |
$2K |
| D0272 |
Bitewings - two radiographic images |
81 |
71 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
52 |
48 |
$1K |
| D1110 |
Prophylaxis - adult |
31 |
25 |
$1K |
| D1351 |
Sealant - per tooth |
50 |
15 |
$1K |
| D3120 |
|
12 |
12 |
$0.00 |
| D0603 |
|
406 |
372 |
$0.00 |