KIM, KWANG
NPI: 1972824936
· SOUTH BOSTON, VA 24592
· General Practice Dentistry
· NPI assigned 06/14/2010
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,218 |
$30K |
| 2019 |
1,375 |
$33K |
| 2020 |
1,106 |
$27K |
| 2021 |
413 |
$11K |
| 2022 |
36 |
$942.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,293 |
1,287 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
1,257 |
1,251 |
$24K |
| D1110 |
Prophylaxis - adult |
540 |
539 |
$23K |
| D1120 |
Prophylaxis - child |
740 |
735 |
$23K |
| D0272 |
Bitewings - two radiographic images |
171 |
171 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
55 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
39 |
39 |
$844.22 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$755.86 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
38 |
$391.30 |