TRAN, TINA-THUY
NPI: 1407377401
· PORT ARTHUR, TX 77640
· General Practice Dentistry
· NPI assigned 06/29/2017
$256.41
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
305 |
$256.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
18 |
18 |
$103.83 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$54.88 |
| D0220 |
Intraoral - periapical first radiographic image |
45 |
45 |
$37.68 |
| D0230 |
Intraoral - periapical each additional radiographic image |
81 |
41 |
$34.02 |
| D0120 |
Periodic oral evaluation - established patient |
36 |
36 |
$26.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
37 |
37 |
$0.00 |
| D0603 |
|
50 |
50 |
$0.00 |
| D1120 |
Prophylaxis - child |
25 |
25 |
$0.00 |