TRAN, THAI-SON
NPI: 1588863625
· LITTLE ELM, TX 75068
· Dentist
· NPI assigned 07/17/2007
$946.43
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$0.00 |
| 2023 |
85 |
$946.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$441.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
46 |
13 |
$379.83 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$125.60 |
| D0601 |
|
25 |
24 |
$0.00 |
| D1999 |
|
13 |
13 |
$0.00 |