HOANG, NGUYEN, & LU DENTAL CORP
NPI: 1548828221
· SAN DIEGO, CA 92129
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/29/2019
$577K
Total Medicaid Paid
Provider Details
| Authorized Official | HOANG, ANDY (PRESIDENT) |
| NPI Enumeration Date | 05/29/2019 |
Related Entities
Other providers sharing the same authorized official: HOANG, ANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$858.00 |
| 2021 |
234 |
$11K |
| 2022 |
2,327 |
$100K |
| 2023 |
5,540 |
$262K |
| 2024 |
5,185 |
$202K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
304 |
250 |
$144K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,678 |
1,670 |
$110K |
| D0210 |
Intraoral - complete series of radiographic images |
1,529 |
1,521 |
$71K |
| D0340 |
|
1,338 |
1,336 |
$66K |
| D1110 |
Prophylaxis - adult |
595 |
592 |
$49K |
| D0350 |
|
4,469 |
1,198 |
$40K |
| D9430 |
|
994 |
896 |
$32K |
| D2954 |
|
165 |
149 |
$17K |
| D0330 |
Panoramic radiographic image |
561 |
560 |
$16K |
| D1206 |
Topical application of fluoride varnish |
789 |
786 |
$12K |
| D4910 |
|
100 |
100 |
$8K |
| D4341 |
|
57 |
26 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
53 |
53 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
545 |
302 |
$2K |
| D1120 |
Prophylaxis - child |
23 |
23 |
$997.50 |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$707.40 |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
47 |
$552.00 |
| D0270 |
|
13 |
13 |
$65.00 |