NPI: 1942642855 · DOWNEY, CA 90241 · General Practice Dentistry · NPI assigned 07/19/2013
| Authorized Official | LEEYOON, JUNG JIN (OWNER/DENTIST) |
| NPI Enumeration Date | 07/19/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 43 | $2K |
| 2024 | 24 | $550.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 27 | 27 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $291.60 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $259.20 |