TAYLOR T. PHAM DDS A PROFESSIONAL CORP.
NPI: 1255341384
· LA PALMA, CA 90623
· Dental Clinic/Center
· NPI assigned 08/09/2006
$219K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, TAYLOR (OWNER) |
| NPI Enumeration Date | 08/09/2006 |
Related Entities
Other providers sharing the same authorized official: PHAM, TAYLOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,388 |
$20K |
| 2019 |
1,652 |
$32K |
| 2020 |
1,347 |
$22K |
| 2021 |
1,256 |
$22K |
| 2022 |
1,813 |
$49K |
| 2023 |
1,457 |
$41K |
| 2024 |
1,190 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,693 |
1,683 |
$97K |
| D1120 |
Prophylaxis - child |
969 |
960 |
$37K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,160 |
966 |
$21K |
| D1110 |
Prophylaxis - adult |
232 |
232 |
$19K |
| D4910 |
|
207 |
203 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,297 |
1,287 |
$14K |
| D0210 |
Intraoral - complete series of radiographic images |
157 |
156 |
$7K |
| D1206 |
Topical application of fluoride varnish |
178 |
178 |
$3K |
| D0272 |
Bitewings - two radiographic images |
183 |
183 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$772.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$324.00 |