Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR PAULINE NGUYEN DDS INC

NPI: 1467433276 · BUENA PARK, CA 90621 · Dentist · NPI assigned 11/09/2005

$1K
Total Medicaid Paid
73
Total Claims
73
Beneficiaries
3
Codes Billed
2018-05
First Month
2023-06
Last Month

Provider Details

Authorized OfficialNGUYEN, PAULINE (OWNER PRESIDENT)
NPI Enumeration Date11/09/2005

Related Entities

Other providers sharing the same authorized official: NGUYEN, PAULINE

ProviderCityStateTotal Paid
CHIC DENTAL CARE SAN JOSE CA $1.71M
ANA PHARMACY CORPORATION GARDEN GROVE CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $100.00
2019 47 $1K
2023 12 $162.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 15 15 $675.00
D1208 Topical application of fluoride, excluding varnish 44 44 $455.00
D0274 Bitewings - four radiographic images 14 14 $302.40