ELIZABETH LUONG DDS INC
NPI: 1437646379
· FOLSOM, CA 95630
· Dentist
· NPI assigned 04/17/2018
$268K
Total Medicaid Paid
Provider Details
| Authorized Official | LUONG, ELIZABETH (OWNER/DENTIST) |
| NPI Enumeration Date | 04/17/2018 |
Related Entities
Other providers sharing the same authorized official: LUONG, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
68 |
$2K |
| 2019 |
987 |
$38K |
| 2020 |
1,143 |
$39K |
| 2021 |
1,545 |
$45K |
| 2022 |
2,192 |
$60K |
| 2023 |
2,249 |
$58K |
| 2024 |
1,064 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
2,506 |
2,042 |
$80K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,203 |
1,196 |
$79K |
| D0210 |
Intraoral - complete series of radiographic images |
694 |
688 |
$33K |
| D4910 |
|
244 |
239 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
271 |
271 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,940 |
1,132 |
$12K |
| D1206 |
Topical application of fluoride varnish |
708 |
701 |
$11K |
| D0274 |
Bitewings - four radiographic images |
426 |
423 |
$7K |
| D1120 |
Prophylaxis - child |
141 |
141 |
$6K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
36 |
13 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
37 |
$456.00 |
| D0270 |
|
41 |
39 |
$205.00 |