Medicaid Provider Spending

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

ELIZABETH KIM NGUYEN DDS INC

NPI: 1346733573 · TUSTIN, CA 92780 · Dental Clinic/Center · NPI assigned 06/12/2018

$28K
Total Medicaid Paid
912
Total Claims
906
Beneficiaries
7
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNGUYEN, ELIZABETH (DDS)
NPI Enumeration Date06/12/2018

Related Entities

Other providers sharing the same authorized official: NGUYEN, ELIZABETH

ProviderCityStateTotal Paid
OCULOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY INC WESTMINSTER CA $51K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 42 $2K
2021 202 $5K
2022 136 $4K
2023 289 $10K
2024 243 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 94 94 $6K
D0120 Periodic oral evaluation - established patient 84 84 $6K
D0230 Intraoral - periapical each additional radiographic image 243 238 $5K
D1208 Topical application of fluoride, excluding varnish 332 331 $5K
D1110 Prophylaxis - adult 40 40 $4K
D0274 Bitewings - four radiographic images 95 95 $2K
D0210 Intraoral - complete series of radiographic images 24 24 $1K