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THEODORE YANG DDS A PROFESSIONAL CORPORATION
THEODORE YANG DDS A PROFESSIONAL CORPORATION
NPI: 1477782829
· ARCADIA, CA 91006
· Dental Clinic/Center
· NPI assigned 07/07/2009
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | YANG, THEODORE (PRESIDENT) |
| NPI Enumeration Date | 07/07/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
517 |
$12K |
| 2019 |
423 |
$13K |
| 2020 |
170 |
$5K |
| 2021 |
548 |
$18K |
| 2022 |
497 |
$23K |
| 2023 |
487 |
$21K |
| 2024 |
495 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
669 |
666 |
$39K |
| D1110 |
Prophylaxis - adult |
397 |
395 |
$33K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,351 |
1,348 |
$17K |
| D0330 |
Panoramic radiographic image |
336 |
336 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
129 |
$8K |
| D1120 |
Prophylaxis - child |
138 |
138 |
$5K |
| D0350 |
|
47 |
24 |
$349.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
70 |
41 |
$283.50 |