ANH Q. T. LE PROFESSIONAL DENTAL CORP.
NPI: 1487870515
· SAN JOSE, CA 95127
· Dentist
· NPI assigned 04/17/2007
$274K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, ANH (DENTIST) |
| NPI Enumeration Date | 04/17/2007 |
Related Entities
Other providers sharing the same authorized official: LE, ANH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,121 |
$168K |
| 2019 |
5,722 |
$91K |
| 2020 |
1,070 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
918 |
492 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
1,329 |
1,326 |
$44K |
| D1120 |
Prophylaxis - child |
1,326 |
1,324 |
$39K |
| D0230 |
Intraoral - periapical each additional radiographic image |
9,778 |
2,045 |
$36K |
| D0274 |
Bitewings - four radiographic images |
1,498 |
1,494 |
$25K |
| D2160 |
|
197 |
132 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
241 |
240 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,244 |
1,241 |
$11K |
| D2140 |
|
203 |
117 |
$10K |
| D1110 |
Prophylaxis - adult |
180 |
179 |
$9K |
| D0350 |
|
664 |
329 |
$5K |
| D1351 |
Sealant - per tooth |
188 |
44 |
$4K |
| D9430 |
|
126 |
124 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
21 |
14 |
$1K |