Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PHI TRAN DENTAL CORPORATION

NPI: 1528253507 · SAN GABRIEL, CA 91776 · General Practice Dentistry · NPI assigned 09/12/2007

$16K
Total Medicaid Paid
448
Total Claims
368
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialTRAN, PHI (OWNER)
NPI Enumeration Date09/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $5K
2019 66 $2K
2021 57 $2K
2023 161 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 79 79 $7K
D0120 Periodic oral evaluation - established patient 75 75 $5K
D2330 24 12 $2K
D0230 Intraoral - periapical each additional radiographic image 158 92 $1K
D1208 Topical application of fluoride, excluding varnish 79 79 $1K
D0220 Intraoral - periapical first radiographic image 33 31 $396.00