KIM CHI NGUYEN DDS INC
NPI: 1467877852
· SAN JOSE, CA 95122
· Dentist
· NPI assigned 02/21/2014
$698.85
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, CHI (OWNER) |
| NPI Enumeration Date | 02/21/2014 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, CHI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$393.00 |
| 2023 |
50 |
$305.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$276.00 |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$273.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
13 |
$149.85 |