BUI, CUONG · NPI 1265619480 · Medicaid Spending

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 05/20/2024.

$62K

Total Medicaid Paid

1,949

Total Claims

949

Beneficiaries

Codes Billed

2018-01

First Month

2019-01

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,838	$60K
2019	111	$1K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	323	71	$34K
D1351	Sealant - per tooth	384	66	$11K
D0230	Intraoral - periapical each additional radiographic image	587	161	$7K
D1120	Prophylaxis - child	84	84	$3K
D0150	Comprehensive oral evaluation - new or established patient	83	82	$3K
D1208	Topical application of fluoride, excluding varnish	161	160	$2K
D0220	Intraoral - periapical first radiographic image	162	161	$2K
D0603		165	164	$0.00