Medicaid Provider Spending

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

NGUYEN DAZZLING SMILE DENTAL GROUP CORP

NPI: 1639817166 · COSTA MESA, CA 92627 · Dentist · NPI assigned 05/24/2022

$2K
Total Medicaid Paid
47
Total Claims
47
Beneficiaries
3
Codes Billed
2024-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNGUYEN, ANISHA (OWNER)
NPI Enumeration Date05/24/2022

Related Entities

Other providers sharing the same authorized official: NGUYEN, ANISHA

ProviderCityStateTotal Paid
ANISHA NGUYEN DDS PROF. CORP. SANTA ANA CA $819K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 47 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 16 16 $1K
D0210 Intraoral - complete series of radiographic images 16 16 $768.00
D1320 15 15 $247.50