Medicaid Provider Spending

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

SILVER LINING DUTCHTOWN DENTAL CENTER LLC

NPI: 1194583898 · GEISMAR, LA 70734 · Dental Clinic/Center · NPI assigned 03/08/2024

$6K
Total Medicaid Paid
147
Total Claims
144
Beneficiaries
4
Codes Billed
2024-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNGUYEN, QUOC BAO (DENTIST/OWNER)
NPI Enumeration Date03/08/2024

Related Entities

Other providers sharing the same authorized official: NGUYEN, QUOC BAO

ProviderCityStateTotal Paid
SILVER LINING DENTISTRY & CO. KENNER LA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 147 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 59 59 $2K
D1110 Prophylaxis - adult 27 26 $2K
D1206 Topical application of fluoride varnish 46 45 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 14 $696.08