Medicaid Provider Spending

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

JEANNE NGUYEN, DDS, INC.

NPI: 1083006266 · RANCHO SANTA MARGARITA, CA 92688 · Pediatric Dentist · NPI assigned 02/25/2015

$94K
Total Medicaid Paid
3,080
Total Claims
2,679
Beneficiaries
10
Codes Billed
2022-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNGUYEN, JEANNE (PRESIDENT/OWNER)
NPI Enumeration Date02/25/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 347 $9K
2023 1,168 $35K
2024 1,565 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 700 698 $37K
D1310 418 416 $19K
D0120 Periodic oral evaluation - established patient 204 203 $13K
D1206 Topical application of fluoride varnish 446 444 $13K
D0603 419 417 $6K
D0230 Intraoral - periapical each additional radiographic image 696 307 $3K
D0272 Bitewings - two radiographic images 117 115 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $902.00
D1208 Topical application of fluoride, excluding varnish 37 37 $518.00
D1320 31 30 $300.00