CHEUNG, SIMON
NPI: 1912053208
· HOLBROOK, NY 11741
· General Practice Dentistry
· NPI assigned 01/27/2007
$172K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,042 |
$17K |
| 2019 |
2,823 |
$54K |
| 2020 |
1,093 |
$15K |
| 2021 |
1,543 |
$24K |
| 2022 |
1,825 |
$32K |
| 2023 |
1,030 |
$19K |
| 2024 |
455 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,799 |
1,796 |
$67K |
| D0120 |
Periodic oral evaluation - established patient |
2,189 |
2,182 |
$43K |
| D0274 |
Bitewings - four radiographic images |
1,873 |
1,871 |
$34K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,123 |
2,107 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,814 |
1,789 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$126.00 |