Medicaid Provider Spending

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

GINA TUYET NGUYEN DDS PC

NPI: 1073383998 · TUSTIN, CA 92780 · Dental Clinic/Center · NPI assigned 01/02/2024

$40K
Total Medicaid Paid
1,619
Total Claims
867
Beneficiaries
10
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNGUYEN, GINA (DENTIST)
NPI Enumeration Date01/02/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,619 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 200 85 $13K
D0350 652 167 $6K
D0150 Comprehensive oral evaluation - new or established patient 88 88 $6K
D1110 Prophylaxis - adult 53 53 $4K
D4910 45 45 $3K
D9430 91 82 $3K
D1208 Topical application of fluoride, excluding varnish 126 126 $2K
D0274 Bitewings - four radiographic images 70 70 $1K
D0230 Intraoral - periapical each additional radiographic image 241 99 $957.83
D0120 Periodic oral evaluation - established patient 53 52 $135.00