STEPHEN L. CHAN , D.M.D , INC.
NPI: 1437564507
· LA MESA, CA 91942
· General Practice Dentistry
· NPI assigned 06/26/2014
$346K
Total Medicaid Paid
Provider Details
| Authorized Official | CHAN, STEPHEN (DENTIST) |
| NPI Enumeration Date | 06/26/2014 |
Related Entities
Other providers sharing the same authorized official: CHAN, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
92 |
$1K |
| 2019 |
398 |
$12K |
| 2020 |
565 |
$21K |
| 2021 |
1,416 |
$45K |
| 2022 |
1,532 |
$67K |
| 2023 |
2,687 |
$103K |
| 2024 |
2,271 |
$97K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,288 |
1,281 |
$84K |
| D9430 |
|
2,012 |
1,674 |
$62K |
| D0120 |
Periodic oral evaluation - established patient |
646 |
644 |
$42K |
| D1110 |
Prophylaxis - adult |
470 |
469 |
$41K |
| D0210 |
Intraoral - complete series of radiographic images |
874 |
869 |
$40K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
525 |
289 |
$34K |
| D1120 |
Prophylaxis - child |
366 |
365 |
$17K |
| D0274 |
Bitewings - four radiographic images |
445 |
444 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,946 |
684 |
$8K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
53 |
39 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
300 |
296 |
$4K |
| D4910 |
|
12 |
12 |
$924.00 |
| D1999 |
|
12 |
12 |
$0.00 |
| D9130 |
|
12 |
12 |
$0.00 |