Medicaid Provider Spending

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

DEREK DUNGQUANG DUONG PROFESSIONAL DENTAL CORP

NPI: 1144370768 · COSTA MESA, CA 92627 · General Practice Dentistry · NPI assigned 01/12/2007

$2K
Total Medicaid Paid
66
Total Claims
66
Beneficiaries
2
Codes Billed
2022-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDUONG, DEREK (PRESIDENT)
NPI Enumeration Date01/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 24 $347.00
2023 15 $221.00
2024 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 13 13 $858.00
D1208 Topical application of fluoride, excluding varnish 53 53 $805.00