PHUONG PHI TRAN DDS INC
NPI: 1609442193
· SANTA ANA, CA 92704
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/03/2021
$192K
Total Medicaid Paid
4,962
Beneficiary Records
Provider Details
| Authorized Official | TRAN, PHUONG (OWNER DOCTOR) |
| NPI Enumeration Date | 06/03/2021 |
Related Entities
Other providers sharing the same authorized official: TRAN, PHUONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,310 |
$52K |
| 2023 |
3,463 |
$83K |
| 2024 |
2,539 |
$57K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
504 |
504 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
448 |
440 |
$30K |
| D1120 |
Prophylaxis - child |
558 |
555 |
$29K |
| D1110 |
Prophylaxis - adult |
330 |
325 |
$29K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,184 |
921 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
996 |
988 |
$14K |
| D4910 |
|
157 |
156 |
$12K |
| D0272 |
Bitewings - two radiographic images |
862 |
855 |
$10K |
| D9430 |
|
114 |
97 |
$4K |
| D4341 |
|
46 |
12 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
87 |
83 |
$1K |