KHA D. LE & MEN T. H. LE, DENTAL CORP.
NPI: 1649391392
· RIVERSIDE, CA 92507
· General Practice Dentistry
· NPI assigned 04/02/2007
$372K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, KHA (PRESIDENT, CEO) |
| NPI Enumeration Date | 04/02/2007 |
Related Entities
Other providers sharing the same authorized official: LE, KHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,767 |
$33K |
| 2019 |
974 |
$22K |
| 2020 |
593 |
$16K |
| 2021 |
1,183 |
$31K |
| 2022 |
2,278 |
$71K |
| 2023 |
2,507 |
$101K |
| 2024 |
2,418 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
2,507 |
2,058 |
$79K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
957 |
952 |
$60K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
116 |
80 |
$55K |
| D0210 |
Intraoral - complete series of radiographic images |
868 |
860 |
$40K |
| D0120 |
Periodic oral evaluation - established patient |
709 |
707 |
$36K |
| D1110 |
Prophylaxis - adult |
358 |
357 |
$29K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,280 |
1,271 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,323 |
1,208 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,748 |
1,940 |
$15K |
| D1120 |
Prophylaxis - child |
447 |
447 |
$15K |
| D0274 |
Bitewings - four radiographic images |
334 |
334 |
$6K |
| D2952 |
|
31 |
26 |
$3K |
| D4910 |
|
13 |
13 |
$1K |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$170.00 |