LAM, PHUONG
NPI: 1467453399
· GARDENA, CA 90249
· Dentist
· NPI assigned 08/02/2005
$662.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$662.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$294.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
33 |
$248.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$120.00 |