Medicaid Provider Spending

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

DUY NGUYEN DDS, PROFESSIONAL DENTAL CORPORATION

NPI: 1013491190 · PACIFICA, CA 94044 · Dental Clinic/Center · NPI assigned 09/24/2018

$15K
Total Medicaid Paid
251
Total Claims
242
Beneficiary Records
7
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNGUYEN, DUY (OWNER)
NPI Enumeration Date09/24/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 251 $15K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0330 Panoramic radiographic image 43 43 $5K
D0150 Comprehensive oral evaluation - new or established patient 46 46 $3K
D0274 Bitewings - four radiographic images 38 38 $2K
D1110 Prophylaxis - adult 14 14 $2K
D0220 Intraoral - periapical first radiographic image 47 46 $1K
D0230 Intraoral - periapical each additional radiographic image 50 42 $1K
D1206 Topical application of fluoride varnish 13 13 $572.00