Medicaid Provider Spending

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

FAIRFIELD DENTISTRY PLLC

NPI: 1356851968 · CYPRESS, TX 77433 · General Practice Dentistry · NPI assigned 10/10/2017

$69K
Total Medicaid Paid
4,722
Total Claims
3,589
Beneficiaries
11
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNGUYEN, QUYNH (PRESIDENT/DENTAL PROVIDER)
NPI Enumeration Date10/10/2017

Related Entities

Other providers sharing the same authorized official: NGUYEN, QUYNH

ProviderCityStateTotal Paid
EMERALD FAMILY DENTISTRY PLLC HOUSTON TX $133K
MOBIUS DENTAL SERVICES PLLC HOUSTON TX $24K
QUYNH NGUYEN DDS, INC SAN JOSE CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 637 $8K
2022 1,678 $26K
2023 724 $8K
2024 1,683 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 1,626 600 $17K
D0120 Periodic oral evaluation - established patient 355 346 $10K
D1208 Topical application of fluoride, excluding varnish 580 568 $8K
D1120 Prophylaxis - child 221 215 $8K
D0220 Intraoral - periapical first radiographic image 650 634 $8K
D1110 Prophylaxis - adult 128 127 $7K
D0274 Bitewings - four radiographic images 167 165 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 45 12 $4K
D0145 Oral evaluation for a patient under three years of age 25 25 $4K
D0601 913 885 $0.06
D0602 12 12 $0.00