Medicaid Provider Spending

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

PETER LUU DDS INC

NPI: 1245631191 · AZUSA, CA 91702 · General Practice Dentistry · NPI assigned 09/10/2014

$10K
Total Medicaid Paid
752
Total Claims
397
Beneficiaries
7
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLUU, PETER (PRESIDENT)
NPI Enumeration Date09/10/2014

Related Entities

Other providers sharing the same authorized official: LUU, PETER

ProviderCityStateTotal Paid
CHAN, CHAN, CHEN & LUU, DDS, INC. LA PUENTE CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $167.00
2022 96 $2K
2023 152 $3K
2024 491 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 217 215 $3K
D0120 Periodic oral evaluation - established patient 29 28 $2K
D0230 Intraoral - periapical each additional radiographic image 408 90 $2K
D1110 Prophylaxis - adult 13 13 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $792.00
D0274 Bitewings - four radiographic images 25 25 $496.80
D0350 48 14 $460.80