ISAAC CHEN DENTAL CORPORATION

NPI: 1316050263 · ROSEMEAD, CA 91770 · General Practice Dentistry · NPI assigned 08/16/2006

$8K

Total Medicaid Paid

827

Total Claims

717

Beneficiaries

Codes Billed

2018-01

First Month

2018-07

Last Month

Provider Details

Authorized Official	CHEN, ISAAC (PRESIDENT)
NPI Enumeration Date	08/16/2006

Other providers sharing the same authorized official: CHEN, ISAAC

Provider	City	State	Total Paid
ISAAC CHEN DENTAL CORPORATION	PICO RIVERA	CA	$523K
ISAAC J. CHEN, D.D.S., INC.	MONTEREY PARK	CA	$30K
ISAAC CHEN DENTAL PRACTICE INC.	LOS ANGELES	CA	$28K
ISAAC J. CHEN, D.D.S., INC.	SAN GABRIEL	CA	$16K

Year	Claims	Total Paid
2018	827	$8K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	100	99	$2K
D0120	Periodic oral evaluation - established patient	141	138	$2K
D0274	Bitewings - four radiographic images	96	93	$999.00
D0150	Comprehensive oral evaluation - new or established patient	25	25	$726.00
D1208	Topical application of fluoride, excluding varnish	87	87	$704.00
D0230	Intraoral - periapical each additional radiographic image	264	161	$572.70
D0220	Intraoral - periapical first radiographic image	102	102	$394.00
D0272	Bitewings - two radiographic images	12	12	$80.00