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 · Dentist · NPI assigned 04/04/2017

$38K
Total Medicaid Paid
1,819
Total Claims
1,251
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialNGUYEN, ANDREW (DOCTOR)
NPI Enumeration Date04/04/2017

Related Entities

Other providers sharing the same authorized official: NGUYEN, ANDREW

ProviderCityStateTotal Paid
TICKET TO SMILES PC AURORA CO $30K
EXCEL DENTAL PLLC MISSOURI CITY TX $6K
ANDREW NGUYEN MD PA TRENTON FL $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,673 $34K
2019 146 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 405 405 $19K
D7140 Extraction, erupted tooth or exposed root 142 78 $8K
D0274 Bitewings - four radiographic images 329 329 $6K
D0230 Intraoral - periapical each additional radiographic image 859 355 $3K
D1110 Prophylaxis - adult 25 25 $760.00
D9430 21 21 $672.00
D0210 Intraoral - complete series of radiographic images 12 12 $576.00
D0220 Intraoral - periapical first radiographic image 26 26 $220.00