Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN JOSE › QUYNH NGUYEN DDS, INC

QUYNH NGUYEN DDS, INC

NPI: 1225212772 · SAN JOSE, CA 95116 · General Practice Dentistry · NPI assigned 12/19/2007

$1K
Total Medicaid Paid
83
Total Claims
70
Beneficiaries
5
Codes Billed
2018-07
First Month
2018-07
Last Month

Provider Details

Authorized OfficialNGUYEN, QUYNH (PRESIDENT)
NPI Enumeration Date12/19/2007

Related Entities

Other providers sharing the same authorized official: NGUYEN, QUYNH

ProviderCityStateTotal Paid
EMERALD FAMILY DENTISTRY PLLC HOUSTON TX $133K
FAIRFIELD DENTISTRY PLLC CYPRESS TX $69K
MOBIUS DENTAL SERVICES PLLC HOUSTON TX $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 13 13 $585.00
D1120 Prophylaxis - child 15 15 $450.00
D0272 Bitewings - two radiographic images 13 13 $156.00
D0230 Intraoral - periapical each additional radiographic image 27 14 $109.35
D1208 Topical application of fluoride, excluding varnish 15 15 $75.00