Medicaid Provider Spending

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

PHAM, TUAN

NPI: 1467643833 · PASADENA, TX 77504 · General Practice Dentistry · NPI assigned 08/09/2007

$7K
Total Medicaid Paid
892
Total Claims
860
Beneficiaries
6
Codes Billed
2021-03
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 152 $994.61
2022 329 $3K
2023 280 $3K
2024 131 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 150 144 $4K
D1208 Topical application of fluoride, excluding varnish 186 184 $3K
D1120 Prophylaxis - child 12 12 $441.00
D0220 Intraoral - periapical first radiographic image 12 12 $150.72
D0230 Intraoral - periapical each additional radiographic image 12 12 $136.61
D0601 520 496 $0.00