HIEU T PHAN PC
NPI: 1043540305
· IRVING, TX 75061
· General Practice Dentistry
· NPI assigned 01/10/2010
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAN, HIEU (PRESIDENT) |
| NPI Enumeration Date | 01/10/2010 |
Related Entities
Other providers sharing the same authorized official: PHAN, HIEU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
157 |
$4K |
| 2021 |
2,590 |
$52K |
| 2022 |
2,286 |
$45K |
| 2023 |
1,515 |
$31K |
| 2024 |
812 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,076 |
1,025 |
$29K |
| D1120 |
Prophylaxis - child |
571 |
552 |
$20K |
| D1110 |
Prophylaxis - adult |
367 |
346 |
$18K |
| D0272 |
Bitewings - two radiographic images |
800 |
762 |
$18K |
| D1351 |
Sealant - per tooth |
641 |
113 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,187 |
1,124 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
892 |
848 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
867 |
821 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
95 |
86 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
12 |
$3K |
| D0601 |
|
557 |
552 |
$0.00 |
| D0602 |
|
121 |
114 |
$0.00 |
| D0603 |
|
151 |
145 |
$0.00 |