Medicaid Provider Spending

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

TIEN TRAN DMD INC.

NPI: 1609392190 · MENIFEE, CA 92586 · Dental Clinic/Center · NPI assigned 08/17/2017

$75K
Total Medicaid Paid
2,515
Total Claims
1,905
Beneficiaries
11
Codes Billed
2020-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTRAN, TIEN (OWNER)
NPI Enumeration Date08/17/2017

Related Entities

Other providers sharing the same authorized official: TRAN, TIEN

ProviderCityStateTotal Paid
TIEN MANH TRAN DDS, INC. SAN JOSE CA $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 59 $4K
2021 843 $31K
2022 534 $15K
2023 657 $16K
2024 422 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 226 226 $17K
D4910 191 191 $14K
D0150 Comprehensive oral evaluation - new or established patient 180 179 $12K
D1110 Prophylaxis - adult 79 79 $7K
D1206 Topical application of fluoride varnish 374 374 $5K
D0210 Intraoral - complete series of radiographic images 112 112 $5K
D0230 Intraoral - periapical each additional radiographic image 1,009 413 $4K
D1120 Prophylaxis - child 110 110 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 54 41 $4K
D0274 Bitewings - four radiographic images 168 168 $3K
D0220 Intraoral - periapical first radiographic image 12 12 $144.00