LU TANG DDS INC DBA LUCKY DENTAL
NPI: 1033384573
· SAN JOSE, CA 95122
· 122300000X
$722K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,347 |
$96K |
| 2019 |
4,827 |
$128K |
| 2020 |
2,690 |
$60K |
| 2021 |
3,379 |
$84K |
| 2022 |
3,544 |
$138K |
| 2023 |
3,139 |
$122K |
| 2024 |
2,333 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
3,847 |
3,835 |
$215K |
| D1120 |
|
4,451 |
4,437 |
$173K |
| D1351 |
|
3,817 |
1,259 |
$109K |
| D1208 |
|
4,595 |
4,582 |
$58K |
| D0230 |
|
3,336 |
3,313 |
$44K |
| D7140 |
|
674 |
387 |
$38K |
| D0274 |
|
1,524 |
1,519 |
$32K |
| D2150 |
|
287 |
172 |
$19K |
| D0272 |
|
1,240 |
1,240 |
$14K |
| D0150 |
|
159 |
159 |
$10K |
| D2160 |
|
105 |
66 |
$8K |
| D2140 |
|
20 |
15 |
$1K |
| D0220 |
|
13 |
13 |
$156.00 |
| D1999 |
|
191 |
191 |
$0.00 |