MARK TSANG, D.D.S., INC.
NPI: 1063771400
· SAN FRANCISCO, CA 94108
· General Practice Dentistry
· NPI assigned 05/04/2012
$659K
Total Medicaid Paid
Provider Details
| Authorized Official | PANG, CHING YEE (OFFICE MANAGER) |
| NPI Enumeration Date | 05/04/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,483 |
$113K |
| 2019 |
8,315 |
$134K |
| 2020 |
3,024 |
$41K |
| 2021 |
6,001 |
$93K |
| 2022 |
5,451 |
$103K |
| 2023 |
5,679 |
$110K |
| 2024 |
3,247 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,955 |
1,955 |
$167K |
| D0120 |
Periodic oral evaluation - established patient |
2,396 |
2,393 |
$127K |
| D0230 |
Intraoral - periapical each additional radiographic image |
24,594 |
4,496 |
$99K |
| D1120 |
Prophylaxis - child |
1,870 |
1,866 |
$67K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,055 |
4,052 |
$49K |
| D0274 |
Bitewings - four radiographic images |
1,919 |
1,918 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
645 |
645 |
$40K |
| D7140 |
Extraction, erupted tooth or exposed root |
468 |
309 |
$26K |
| D0272 |
Bitewings - two radiographic images |
1,829 |
1,827 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,304 |
1,284 |
$15K |
| D9430 |
|
145 |
144 |
$5K |
| D2140 |
|
20 |
12 |
$1K |