DR. BENNETT C. JEONG DDS
NPI 1700869039
Dentist - General Practice in San Dimas, CA

Active since November 21, 2005PECOS Enrolled
1075 VIA VERDE, SAN DIMAS, CA 91773(909) 599-8331 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bennett C. Jeong Dds NPPES

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

DR. BENNETT C. JEONG DDS (NPI 1700869039) is an individual general practice provider in San Dimas, California, licensed in California (27306) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700869039
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BENNETT C. JEONGCredential: DDS
Location Address1075 VIA VERDESan Dimas, CA 91773-4347
Mailing Address1075 Via VerdeSan Dimas, CA 91773-4347
Sole ProprietorYes
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1700869039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 27306
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1075 VIA VERDE, San Dimas, CA 91773

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bennett C. Jeong Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1075 VIA VERDE
SAN DIMAS, CA 91773
Dentist
1075 VIA VERDE
SAN DIMAS, CA 91773
Dentist (Pediatric Dentistry)
1075 VIA VERDE
SAN DIMAS, CA 91773
Dentist (Pediatric Dentistry)
1075 VIA VERDE
SAN DIMAS, CA 91773

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700869039, enumerated as an "individual" on November 21, 2005.

The provider is located at 1075 VIA VERDE SAN DIMAS, CA 91773 and the phone number is (909) 599-8331.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.