Medicaid Provider Spending

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

ANDREW LE NGUYEN DDS DENTAL CORPORATION

NPI: 1568995801 · POMONA, CA 91768 · 122300000X

$38K

Total Medicaid Paid

1,819

Total Claims

1,251

Beneficiaries

8

Codes Billed

2018-01

First Month

2019-08

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,673	$34K
2019	146	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		405	405	$19K
D7140		142	78	$8K
D0274		329	329	$6K
D0230		859	355	$3K
D1110		25	25	$760.00
D9430		21	21	$672.00
D0210		12	12	$576.00
D0220		26	26	$220.00