Medicaid Provider Spending

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

LIEU KIM NGUYEN DDS INCORP

NPI: 1093118952 · LONG BEACH, CA 90813 · Dentist · NPI assigned 10/06/2014

$5K
Total Medicaid Paid
328
Total Claims
326
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialNGUYEN, LIEU (PRESIDENT)
NPI Enumeration Date10/06/2014

Related Entities

Other providers sharing the same authorized official: NGUYEN, LIEU

ProviderCityStateTotal Paid
TU N TRUONG M D A PROFESSIONAL MEDICAL CORPORATION SAN DIEGO CA $42K
LIEU S. NGUYEN, M.D., A PROFESSIONAL CORPORATION HAWTHORNE CA $39K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 328 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 111 110 $2K
D1110 Prophylaxis - adult 38 38 $1K
D1208 Topical application of fluoride, excluding varnish 73 73 $676.00
D0220 Intraoral - periapical first radiographic image 47 46 $500.00
D1120 Prophylaxis - child 13 13 $390.00
D0120 Periodic oral evaluation - established patient 34 34 $252.00
D0272 Bitewings - two radiographic images 12 12 $120.00