Medicaid Provider Spending

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

GABRIELLA TN PHAM DDS INC

NPI: 1295081107 · COSTA MESA, CA 92626 · General Practice Dentistry · NPI assigned 07/29/2012

$89K
Total Medicaid Paid
3,231
Total Claims
3,173
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialPHAM, GABRIELLA (PRESIDENT)
NPI Enumeration Date07/29/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,153 $22K
2019 795 $21K
2020 446 $12K
2021 265 $7K
2022 337 $13K
2023 158 $8K
2024 77 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 847 845 $42K
D1120 Prophylaxis - child 395 394 $12K
D1208 Topical application of fluoride, excluding varnish 995 993 $11K
D1110 Prophylaxis - adult 117 115 $8K
D0230 Intraoral - periapical each additional radiographic image 511 461 $6K
D0274 Bitewings - four radiographic images 274 273 $5K
D0150 Comprehensive oral evaluation - new or established patient 80 80 $4K
D0210 Intraoral - complete series of radiographic images 12 12 $552.00