LONG NGUYEN D.D.S. A DENTAL CORPORATION
NPI: 1649488727
· ROSEVILLE, CA 95661
· General Practice Dentistry
· NPI assigned 05/20/2007
$718K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, LONG (CEO) |
| NPI Enumeration Date | 05/20/2007 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, LONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,069 |
$131K |
| 2019 |
3,841 |
$132K |
| 2020 |
2,872 |
$88K |
| 2021 |
1,052 |
$29K |
| 2022 |
3,091 |
$125K |
| 2023 |
3,029 |
$123K |
| 2024 |
2,365 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,699 |
3,684 |
$202K |
| D1110 |
Prophylaxis - adult |
2,333 |
2,328 |
$198K |
| D0210 |
Intraoral - complete series of radiographic images |
1,696 |
1,692 |
$79K |
| D1120 |
Prophylaxis - child |
1,889 |
1,879 |
$69K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,024 |
1,022 |
$64K |
| D0274 |
Bitewings - four radiographic images |
2,500 |
2,492 |
$46K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,858 |
3,345 |
$27K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
323 |
238 |
$22K |
| D9430 |
|
183 |
174 |
$6K |
| D1351 |
Sealant - per tooth |
280 |
91 |
$6K |
| D0270 |
|
15 |
14 |
$75.00 |
| D1999 |
|
380 |
375 |
$40.00 |
| D1203 |
|
104 |
104 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
19 |
15 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
16 |
15 |
$0.00 |