SUNDENTALCORP
NPI: 1952789406
· SAN GABRIEL, CA 91776
· Dentist
· NPI assigned 05/15/2015
Provider Details
| Authorized Official | KOR, JOSEPH (PRESIDENT) |
| NPI Enumeration Date | 05/15/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
79 |
$1K |
| 2019 |
82 |
$2K |
| 2020 |
12 |
$540.00 |
| 2021 |
54 |
$597.90 |
| 2022 |
70 |
$2K |
| 2023 |
109 |
$4K |
| 2024 |
305 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
101 |
101 |
$6K |
| D1110 |
Prophylaxis - adult |
70 |
69 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
179 |
131 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
189 |
172 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
145 |
144 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$324.00 |