Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › COSTA MESA › HANG VO DENTAL CORPORATION

HANG VO DENTAL CORPORATION

NPI: 1336643923 · COSTA MESA, CA 92627 · General Practice Dentistry · NPI assigned 03/20/2018

$4K
Total Medicaid Paid
127
Total Claims
127
Beneficiaries
3
Codes Billed
2019-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialALCANTAR, MARIA ELENA (MAIN OFFICE CONTACT)
NPI Enumeration Date03/20/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 24 $526.00
2020 29 $630.00
2021 13 $390.00
2024 61 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 63 63 $2K
D0120 Periodic oral evaluation - established patient 12 12 $1K
D1208 Topical application of fluoride, excluding varnish 52 52 $832.00