Medicaid Provider Spending

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

MIN SUK CHANG,DDS,INC

NPI: 1639322068 · MONTEBELLO, CA 90640 · General Acute Care Hospital · NPI assigned 10/29/2008

$34K
Total Medicaid Paid
1,672
Total Claims
1,280
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCHANG, PHILIP (C.E.O.)
Parent OrganizationMIN SUK CHANG,DDS,INC
NPI Enumeration Date10/29/2008

Related Entities

Other providers sharing the same authorized official: CHANG, PHILIP

ProviderCityStateTotal Paid
PHILIP CHANG, DDS, INC. ROSEMEAD CA $1.15M
PHILIP WS CHANG DDS HONOLULU HI $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 321 $6K
2019 263 $4K
2020 68 $541.45
2021 24 $368.60
2022 164 $5K
2023 504 $11K
2024 328 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 130 130 $8K
D0150 Comprehensive oral evaluation - new or established patient 146 143 $8K
D1208 Topical application of fluoride, excluding varnish 420 417 $5K
D0210 Intraoral - complete series of radiographic images 102 102 $4K
D0274 Bitewings - four radiographic images 192 191 $4K
D0230 Intraoral - periapical each additional radiographic image 570 189 $2K
D1120 Prophylaxis - child 62 61 $2K
D0330 Panoramic radiographic image 19 19 $418.75
D0220 Intraoral - periapical first radiographic image 15 12 $168.00
D1320 16 16 $112.50