Medicaid Provider Spending

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

TUNG XUAN NGUYEN DDS INC

NPI: 1346401908 · SANTA ANA, CA 92704 · General Practice Dentistry · NPI assigned 06/17/2008

$3K
Total Medicaid Paid
382
Total Claims
187
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialNGUYEN, TUNG (OWNER)
NPI Enumeration Date06/17/2008

Related Entities

Other providers sharing the same authorized official: NGUYEN, TUNG

ProviderCityStateTotal Paid
TUNG HUU NGUYEN MD INC WESTMINSTER CA $1.32M
TUNG T. NGUYEN, D.O., INC. SAN JOSE CA $861K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 382 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 25 25 $750.00
D0120 Periodic oral evaluation - established patient 45 43 $735.00
D0230 Intraoral - periapical each additional radiographic image 246 56 $714.00
D1110 Prophylaxis - adult 17 15 $520.00
D1208 Topical application of fluoride, excluding varnish 33 32 $234.00
D0274 Bitewings - four radiographic images 16 16 $180.00