BO ORTHODONTICS
NPI: 1962764134
· NORTHVALE, NJ 07647
· General Practice Dentistry
· NPI assigned 06/13/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | YUN, SUNG (DDS) |
| NPI Enumeration Date | 06/13/2012 |
Related Entities
Other providers sharing the same authorized official: YUN, SUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,547 |
$0.00 |
| 2019 |
3,501 |
$0.00 |
| 2020 |
2,514 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
1,920 |
1,765 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,658 |
1,657 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
150 |
150 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
22 |
22 |
$0.00 |
| D0601 |
|
14 |
14 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,444 |
1,442 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
2,004 |
1,984 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
1,193 |
1,192 |
$0.00 |
| D1120 |
Prophylaxis - child |
133 |
133 |
$0.00 |