Medicaid Provider Spending

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

NGUYEN DMD PA

NPI: 1053659508 · WICHITA, KS 67207 · General Practice Dentistry · NPI assigned 01/17/2013

$55K
Total Medicaid Paid
2,237
Total Claims
2,185
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialNGUYEN, KIMBERLY (DENTIST)
NPI Enumeration Date01/17/2013

Related Entities

Other providers sharing the same authorized official: NGUYEN, KIMBERLY

ProviderCityStateTotal Paid
TEXAS EYE CLINIC PC GARLAND TX $53K
KIMBERLY NGUYEN DPM PC PHILADELPHIA PA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,115 $28K
2019 1,122 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 355 353 $14K
D0120 Periodic oral evaluation - established patient 590 572 $12K
D0274 Bitewings - four radiographic images 298 296 $9K
D1208 Topical application of fluoride, excluding varnish 521 508 $9K
D1120 Prophylaxis - child 280 271 $8K
D0272 Bitewings - two radiographic images 72 70 $1K
D0140 Limited oral evaluation - problem focused 37 35 $1K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $834.62
D0220 Intraoral - periapical first radiographic image 56 52 $672.00