KIM, DONGKYUN
NPI: 1932321759
· RIDGEFIELD, NJ 07657
· General Practice Dentistry
· NPI assigned 05/02/2007
$342.66
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$342.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
15 |
15 |
$192.92 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$96.46 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$53.28 |