HUONG T NGUYEN, DDS, INC.
NPI: 1063651784
· SAN JOSE, CA 95116
· Dental Clinic/Center
· NPI assigned 02/19/2009
$200K
Total Medicaid Paid
6,762
Beneficiary Records
Provider Details
| Authorized Official | NGUYEN, HUONG (CEO) |
| NPI Enumeration Date | 02/19/2009 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, HUONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,182 |
$20K |
| 2019 |
797 |
$14K |
| 2020 |
728 |
$11K |
| 2021 |
1,855 |
$46K |
| 2022 |
1,433 |
$43K |
| 2023 |
1,459 |
$43K |
| 2024 |
742 |
$23K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
960 |
958 |
$57K |
| D1110 |
Prophylaxis - adult |
617 |
617 |
$53K |
| D0274 |
Bitewings - four radiographic images |
1,052 |
1,052 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,507 |
1,503 |
$19K |
| D1120 |
Prophylaxis - child |
541 |
540 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
277 |
277 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,904 |
1,492 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
67 |
64 |
$738.00 |
| D1999 |
|
271 |
259 |
$210.00 |