Medicaid Provider Spending

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

CHAN, CHAN, CHEN & LUU, DDS, INC.

NPI: 1184959967 · LA PUENTE, CA 91744 · General Practice Dentistry · NPI assigned 10/12/2009

$3K
Total Medicaid Paid
163
Total Claims
154
Beneficiaries
6
Codes Billed
2021-07
First Month
2022-05
Last Month

Provider Details

Authorized OfficialLUU, PETER (PRESIDENT)
NPI Enumeration Date10/12/2009

Related Entities

Other providers sharing the same authorized official: LUU, PETER

ProviderCityStateTotal Paid
PETER LUU DDS INC AZUSA CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $1K
2022 134 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 28 27 $971.00
D1208 Topical application of fluoride, excluding varnish 41 40 $858.60
D0150 Comprehensive oral evaluation - new or established patient 15 15 $777.00
D0230 Intraoral - periapical each additional radiographic image 36 30 $143.25
D0220 Intraoral - periapical first radiographic image 31 30 $82.00
D0274 Bitewings - four radiographic images 12 12 $63.00