Medicaid Provider Spending

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

POLARIS DENTAL SPECIALISTS

NPI: 1548671340 · SALEM, OR 97301 · Periodontist · NPI assigned 05/14/2014

$35K
Total Medicaid Paid
890
Total Claims
764
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialNGUYEN NGUYEN, TUONG (OWNER)
NPI Enumeration Date05/14/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 890 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 287 246 $15K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 17 16 $13K
D0220 Intraoral - periapical first radiographic image 286 251 $5K
D0230 Intraoral - periapical each additional radiographic image 300 251 $3K