NPI: 1477247377 · CORONA, CA 92882 · Dental Clinic/Center · NPI assigned 06/05/2023
| Authorized Official | NGUYEN, PETER (CEO) |
| NPI Enumeration Date | 06/05/2023 |
Other providers sharing the same authorized official: NGUYEN, PETER
| Provider | City | State | Total Paid |
|---|---|---|---|
| HOLINESS HOME HEALTHCARE CORP | KATY | TX | $17.60M |
| MANUEL NGUYEN PEDIATRIC DENTISTRY | HENDERSON | NV | $856K |
| KELLEY PARK MEDICAL CLINIC, INC | SAN JOSE | CA | $168K |
| THOMAS NGUYEN DENTAL CORP | WHITTIER | CA | $131K |
| ALMAR VISTA INC | GARDENA | CA | $12K |
| HOUSTON KIDNEY CONSULTANTS PLLC | HOUSTON | TX | $8K |
| TUSCANO DENTAL | PHOENIX | AZ | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 461 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 105 | 105 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 92 | 41 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 96 | 96 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 37 | 12 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 22 | 12 | $2K |
| D0350 | 95 | 95 | $633.60 | |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $233.00 |