JAIME A NGUYEN DDS A PROFESSIONAL DENTAL CORPORATION
NPI: 1508256454
· GARDEN GROVE, CA 92841
· Dentist
· NPI assigned 01/30/2015
$659K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, JAIME (DENTIST) |
| NPI Enumeration Date | 01/30/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,357 |
$78K |
| 2019 |
2,428 |
$63K |
| 2020 |
2,030 |
$55K |
| 2021 |
2,915 |
$79K |
| 2022 |
3,834 |
$154K |
| 2023 |
2,957 |
$116K |
| 2024 |
2,708 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,428 |
3,410 |
$199K |
| D1120 |
Prophylaxis - child |
3,061 |
3,044 |
$121K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,620 |
3,599 |
$82K |
| D1110 |
Prophylaxis - adult |
921 |
913 |
$81K |
| D1206 |
Topical application of fluoride varnish |
4,314 |
4,290 |
$61K |
| D0272 |
Bitewings - two radiographic images |
3,341 |
3,324 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
439 |
437 |
$29K |
| D1351 |
Sealant - per tooth |
706 |
139 |
$21K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
248 |
118 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
71 |
71 |
$3K |
| D2160 |
|
25 |
12 |
$2K |
| D4910 |
|
14 |
14 |
$1K |
| D9993 |
|
13 |
12 |
$845.00 |
| D1310 |
|
13 |
12 |
$597.00 |
| D9430 |
|
15 |
15 |
$480.00 |