MICHAEL H LUU DMD INC
NPI: 1417350992
· SAN JOSE, CA 95125
· Dentist
· NPI assigned 09/29/2014
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | LUU, MICHAEL (DENTIST/ OWNER) |
| NPI Enumeration Date | 09/29/2014 |
Related Entities
Other providers sharing the same authorized official: LUU, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
651 |
$12K |
| 2019 |
499 |
$11K |
| 2020 |
656 |
$15K |
| 2021 |
618 |
$15K |
| 2022 |
644 |
$28K |
| 2023 |
574 |
$27K |
| 2024 |
174 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,080 |
1,074 |
$61K |
| D1120 |
Prophylaxis - child |
1,358 |
1,353 |
$50K |
| D0230 |
Intraoral - periapical each additional radiographic image |
930 |
475 |
$4K |
| D1206 |
Topical application of fluoride varnish |
287 |
286 |
$3K |
| D0274 |
Bitewings - four radiographic images |
112 |
112 |
$2K |
| D1203 |
|
49 |
49 |
$0.00 |