Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › GAINESVILLE › LAKE MANASSA DENTAL CENTER

LAKE MANASSA DENTAL CENTER

NPI: 1356539100 · GAINESVILLE, VA 20155 · Dentist · NPI assigned 10/05/2007

$1K
Total Medicaid Paid
55
Total Claims
55
Beneficiaries
2
Codes Billed
2019-08
First Month
2020-02
Last Month

Provider Details

Authorized OfficialNGUYEN, LONG (MEMBER)
NPI Enumeration Date10/05/2007

Related Entities

Other providers sharing the same authorized official: NGUYEN, LONG

ProviderCityStateTotal Paid
LONG NGUYEN D.D.S. A DENTAL CORPORATION ROSEVILLE CA $718K
ISMILE DENTAL II, PLLC ARLINGTON TX $444K
ISMILE DENTAL AT THE CHISOLM TRAIL PLLC FORT WORTH TX $377K
LONG.P.NGUYEN M.D., P.A. HOUSTON TX $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $531.58
2020 29 $593.31

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 29 29 $584.35
D1208 Topical application of fluoride, excluding varnish 26 26 $540.54