LU, MYDUNG
NPI: 1619090545
· AVENEL, NJ 07001
· General Practice Dentistry
· NPI assigned 04/07/2007
$124K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,672 |
$22K |
| 2019 |
1,366 |
$20K |
| 2020 |
737 |
$10K |
| 2021 |
1,143 |
$16K |
| 2022 |
1,224 |
$17K |
| 2023 |
1,454 |
$20K |
| 2024 |
1,322 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,646 |
3,639 |
$53K |
| D1110 |
Prophylaxis - adult |
3,082 |
3,076 |
$51K |
| D0274 |
Bitewings - four radiographic images |
1,740 |
1,736 |
$16K |
| D1120 |
Prophylaxis - child |
285 |
285 |
$4K |
| D0272 |
Bitewings - two radiographic images |
63 |
63 |
$315.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$300.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$292.00 |
| D0220 |
Intraoral - periapical first radiographic image |
76 |
76 |
$284.60 |