Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LE, BICH NGOC, DDS INC

NPI: 1013148220 · GARDEN GROVE, CA 92843 · 122300000X

$160K

Total Medicaid Paid

6,465

Total Claims

3,930

Beneficiaries

13

Codes Billed

2018-01

First Month

2020-01

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	2,463	$61K
2019	3,783	$95K
2020	219	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		573	572	$44K
D4341		363	110	$24K
D0150		364	364	$21K
D0120		501	498	$20K
D0210		272	272	$12K
D0230		2,780	537	$11K
D1208		906	905	$10K
D1120		156	156	$5K
D0272		276	276	$3K
D7140		50	27	$3K
D0220		178	174	$2K
D4910		27	27	$2K
D2391		19	12	$982.80