LOAN M LUU DDS INC
NPI: 1316394208
· GARDEN GROVE, CA 92843
· Dentist
· NPI assigned 05/20/2016
$225K
Total Medicaid Paid
Provider Details
| Authorized Official | LUU, LOAN (DDS) |
| Parent Organization | LOAN M LUU DDS |
| NPI Enumeration Date | 05/20/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,443 |
$40K |
| 2019 |
1,067 |
$30K |
| 2020 |
590 |
$9K |
| 2021 |
1,069 |
$34K |
| 2022 |
986 |
$39K |
| 2023 |
861 |
$37K |
| 2024 |
819 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
800 |
799 |
$68K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,667 |
1,603 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
669 |
668 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,476 |
1,470 |
$19K |
| D4341 |
|
264 |
72 |
$17K |
| D0272 |
Bitewings - two radiographic images |
763 |
763 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
646 |
614 |
$8K |
| D4910 |
|
99 |
98 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
108 |
108 |
$7K |
| D1120 |
Prophylaxis - child |
145 |
145 |
$5K |
| D1999 |
|
198 |
166 |
$0.00 |