TUAN T. LY DDS, INC
NPI: 1003254004
· ESCONDIDO, CA 92025
· Pediatric Dentist
· NPI assigned 06/12/2013
$417K
Total Medicaid Paid
Provider Details
| Authorized Official | LY, TUAN (CEO) |
| NPI Enumeration Date | 06/12/2013 |
Related Entities
Other providers sharing the same authorized official: LY, TUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,679 |
$25K |
| 2019 |
2,107 |
$42K |
| 2020 |
1,816 |
$38K |
| 2021 |
2,653 |
$59K |
| 2022 |
2,630 |
$76K |
| 2023 |
3,278 |
$92K |
| 2024 |
2,897 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,133 |
2,131 |
$127K |
| D1120 |
Prophylaxis - child |
2,938 |
2,931 |
$118K |
| D1310 |
|
954 |
952 |
$43K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,726 |
2,725 |
$42K |
| D9993 |
|
354 |
354 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,360 |
2,471 |
$21K |
| D0272 |
Bitewings - two radiographic images |
1,194 |
1,194 |
$14K |
| D0274 |
Bitewings - four radiographic images |
554 |
552 |
$11K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
274 |
257 |
$11K |
| D0603 |
|
348 |
348 |
$5K |
| D1351 |
Sealant - per tooth |
58 |
16 |
$1K |
| D0350 |
|
88 |
40 |
$993.27 |
| D0601 |
|
24 |
24 |
$347.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$182.00 |
| D1999 |
|
41 |
38 |
$0.00 |