THO BAO NGUYEN,DDS,INC.
NPI: 1417156522
· WESTMINSTER, CA 92683
· General Practice Dentistry
· NPI assigned 07/18/2007
$546K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, THO (PRESIDENT) |
| NPI Enumeration Date | 07/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,851 |
$28K |
| 2019 |
1,352 |
$24K |
| 2020 |
1,817 |
$27K |
| 2021 |
3,916 |
$78K |
| 2022 |
4,889 |
$120K |
| 2023 |
4,881 |
$149K |
| 2024 |
4,378 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,671 |
1,663 |
$143K |
| D0120 |
Periodic oral evaluation - established patient |
1,373 |
1,365 |
$85K |
| D4910 |
|
1,029 |
1,024 |
$78K |
| D0230 |
Intraoral - periapical each additional radiographic image |
13,358 |
2,482 |
$55K |
| D4341 |
|
664 |
177 |
$46K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
89 |
66 |
$42K |
| D0274 |
Bitewings - four radiographic images |
1,756 |
1,747 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,510 |
2,495 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
351 |
349 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
253 |
252 |
$3K |
| D1120 |
Prophylaxis - child |
30 |
30 |
$1K |