DR. SAGE SEJONG YOO DMD
NPI 1508207994
Dentist - Pediatric Dentistry in Mckinney, TX

Active since July 13, 2013PECOS Enrolled
6675 S CUSTER RD, MCKINNEY, TX 75070(469) 301-3212 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2019, Feb 18, 2016 (2 updates tracked since 2016).

About Dr. Sage Sejong Yoo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAGE SEJONG YOO DMD (NPI 1508207994) is an individual pediatric dentistry provider in Mckinney, Texas, licensed in Texas (30815) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508207994
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SAGE SEJONG YOOCredential: DMD
Location Address6675 S CUSTER RDMckinney, TX 75070
Mailing Address585 Chardonnay DrFairview, TX 75069-1542 · (214) 892-1535
Sole ProprietorNo
Enumeration DateJuly 13, 2013
Last NPPES UpdateApril 15, 20192 updates tracked since enumeration
NPI 1508207994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 30815
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License DN1856322 (MA), 30815 (TX)
6675 S CUSTER RD, Mckinney, TX 75070

Other Identifiers 1

Other32386TX · Medicaid - Mcna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Sage Sejong Yoo Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 24, 2016 through May 24, 2026.

Opt-Out Effective DateMay 24, 2016
Opt-Out In Effect ThroughMay 24, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508207994, enumerated as an "individual" on July 13, 2013.

The provider is located at 6675 S CUSTER RD MCKINNEY, TX 75070 and the phone number is (469) 301-3212.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.