Medicaid Provider Spending

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

KENNETH NGUYEN, DDS APC

NPI: 1528411733 · LA PUENTE, CA 91744 · Dentist · NPI assigned 07/22/2016

$79K
Total Medicaid Paid
2,856
Total Claims
2,850
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNGUYEN, KENNETH (OWNER)
NPI Enumeration Date07/22/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 410 $10K
2019 475 $11K
2020 368 $10K
2021 355 $10K
2022 447 $14K
2023 366 $11K
2024 435 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 1,327 1,325 $26K
D0120 Periodic oral evaluation - established patient 558 556 $23K
D1110 Prophylaxis - adult 162 162 $13K
D0274 Bitewings - four radiographic images 375 375 $8K
D1120 Prophylaxis - child 199 198 $6K
D0272 Bitewings - two radiographic images 139 138 $2K
D1208 Topical application of fluoride, excluding varnish 81 81 $690.00
D0150 Comprehensive oral evaluation - new or established patient 15 15 $385.00