JENNY TSAI DDS INC
NPI: 1063745586
· ESCONDIDO, CA 92027
· General Practice Dentistry
· NPI assigned 09/16/2009
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | TSAI, JENNY (PRESIDENT) |
| NPI Enumeration Date | 09/16/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
49 |
$3K |
| 2021 |
752 |
$26K |
| 2022 |
636 |
$22K |
| 2023 |
912 |
$35K |
| 2024 |
778 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4910 |
|
690 |
686 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
206 |
206 |
$16K |
| D4341 |
|
148 |
42 |
$10K |
| D0274 |
Bitewings - four radiographic images |
481 |
480 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
122 |
122 |
$8K |
| D1110 |
Prophylaxis - adult |
64 |
64 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
309 |
308 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
987 |
499 |
$4K |
| D9110 |
|
35 |
31 |
$2K |
| D4342 |
|
46 |
16 |
$2K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$922.50 |
| D9910 |
|
15 |
15 |
$903.00 |