BOM SEOK JEON NPI 1295175859

NPI Details

Bom Seok Jeon is an oral and maxillofacial surgery dentist in Fullerton, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Bom Seok Jeon NPI is 1295175859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1401 S BROOKHURST RD
STE 104
FULLERTON, CA
ZIP 92833-492
Phone: (714) 879-2828
Fax: (714) 879-2226

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Drawing of blood for a medical problem (HCPCS:99195)
• Removal of growth of mouth with simple repair (HCPCS:40812)
• Collection of stem cells for transplantation (HCPCS:38206)
• Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less (HCPCS:12011)
• Incision and repair of bony defect of cheek bone with repositioning of bony segment (HCPCS:21208)
• Repair of lower jaw bone with bone graft (HCPCS:21215)
• Simple drainage of abscess, cyst, or blood accumulation of mouth (HCPCS:40800)
• X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
• Ct scan of face without contrast (HCPCS:70486)
• Repair of nasal or cheek bone with bone graft (HCPCS:21210)
• 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
• Incision or partial removal of upper jaw bone (HCPCS:21206)
• Incision or partial removal of lower jaw bone (HCPCS:21198)
• Removal of lower jaw bone (HCPCS:21025)
• Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth (HCPCS:41006)
• Removal of face bone (HCPCS:21026)
• Incision of nasal sinus through nose (HCPCS:31020)
• Repair of abnormal drainage tract between nasal sinuses (HCPCS:30580)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Removal of growth or cyst of jaw or upper cheek (HCPCS:21030)
• Removal of growth or cyst of lower jaw bone (HCPCS:21040)
• 3d radiographic procedure (HCPCS:76376)
• Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12013)
• Complicated drainage of abscess, cyst, or blood accumulation of mouth (HCPCS:40801)
• Repair of lacerated mouth, 2.5 cm or less (HCPCS:40830)
• Impression and custom preparation of oral surgical splint (HCPCS:21085)
• Preparation of permanent prosthesis to close mouth opening (HCPCS:21080)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Removal of deep implant from bone (HCPCS:20680)
• Removal of growth or cyst of lower jaw bone through mouth (HCPCS:21046)
• Impression and custom preparation of temporary oral prosthesis (HCPCS:21079)
• Removal of growth or cyst of upper jaw bone through mouth (HCPCS:21048)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Drainage of abscess, cyst, or blood accumulation under tongue from inside mouth (HCPCS:41005)

The enumeration date for this NPI number is 6/27/2013 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: