NATHAN HIEN LE, DDS. INC
NPI: 1306352695
· SAN DIEGO, CA 92105
· General Practice Dentistry
· NPI assigned 12/21/2017
$310K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, NATHAN (DENTIST/OWNER) |
| NPI Enumeration Date | 12/21/2017 |
Related Entities
Other providers sharing the same authorized official: LE, NATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,500 |
$40K |
| 2019 |
2,365 |
$70K |
| 2020 |
629 |
$15K |
| 2021 |
1,613 |
$41K |
| 2022 |
1,450 |
$48K |
| 2023 |
1,713 |
$53K |
| 2024 |
1,374 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,452 |
1,445 |
$124K |
| D0120 |
Periodic oral evaluation - established patient |
1,109 |
1,103 |
$63K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
703 |
702 |
$43K |
| D0274 |
Bitewings - four radiographic images |
1,284 |
1,276 |
$27K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,712 |
1,969 |
$19K |
| D1120 |
Prophylaxis - child |
343 |
343 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
774 |
752 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
161 |
106 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
66 |
66 |
$3K |
| D9430 |
|
13 |
12 |
$416.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$389.00 |