JAESUNG KIM DMD INC
NPI: 1932750767
· OCEANSIDE, CA 92058
· Dental Clinic/Center
· NPI assigned 09/23/2019
Provider Details
| Authorized Official | KIM, JAESUNG (DOCTOR/OWNER) |
| NPI Enumeration Date | 09/23/2019 |
Related Entities
Other providers sharing the same authorized official: KIM, JAESUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$2K |
| 2021 |
186 |
$10K |
| 2022 |
41 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
111 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
73 |
73 |
$3K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$586.00 |