Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN GABRIEL › SON NGUYEN D.D.S., INC.

SON NGUYEN D.D.S., INC.

NPI: 1689074734 · SAN GABRIEL, CA 91776 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/26/2014

$3.49M
Total Medicaid Paid
88,926
Total Claims
76,382
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNGUYEN, SON (C.E.O./OWNER)
Parent OrganizationSON NGUYEN DDS, INC
NPI Enumeration Date08/26/2014

Related Entities

Other providers sharing the same authorized official: NGUYEN, SON

ProviderCityStateTotal Paid
SON NGUYEN DDS, INC WESTMINSTER CA $12.06M
JEFFERSON MEDICAL CLINIC LLC GRETNA LA $2.85M
IBERIA GASTROENTEROLOGY ASSOCIATES, INC. A PROFESSIONAL MEDICAL CORPOR NEW IBERIA LA $1.81M
ACADIANA SURGERY CENTER, INC. NEW IBERIA LA $625K
SON VAN NGUYEN MD INC SEATTLE WA $95K
SON TRANG NGUYEN OPTOMETRIC CORPORATION SAN JOSE CA $382.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,014 $270K
2019 13,984 $542K
2020 10,798 $412K
2021 12,561 $503K
2022 12,935 $573K
2023 15,164 $627K
2024 11,470 $566K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 8,429 8,405 $491K
D1110 Prophylaxis - adult 4,019 4,008 $354K
D4341 4,126 1,137 $289K
D1120 Prophylaxis - child 7,127 7,104 $275K
D0150 Comprehensive oral evaluation - new or established patient 4,093 4,081 $259K
D4910 3,276 3,272 $250K
D0210 Intraoral - complete series of radiographic images 4,872 4,851 $228K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,255 2,123 $217K
D0230 Intraoral - periapical each additional radiographic image 15,078 9,638 $216K
D0274 Bitewings - four radiographic images 7,703 7,691 $163K
D1208 Topical application of fluoride, excluding varnish 12,246 12,209 $149K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,504 1,620 $135K
D2751 Crown - porcelain fused to predominantly base metal 206 171 $98K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 548 322 $64K
D0350 2,719 2,365 $44K
D0340 877 871 $42K
D1320 2,847 2,826 $41K
D9430 1,002 971 $32K
D4342 643 210 $27K
D7140 Extraction, erupted tooth or exposed root 458 261 $26K
D0330 Panoramic radiographic image 812 811 $23K
D7240 Removal of impacted tooth - completely bony 94 39 $22K
D0140 Limited oral evaluation - problem focused 552 552 $19K
D1351 Sealant - per tooth 759 191 $17K
D0220 Intraoral - periapical first radiographic image 440 435 $5K
D2330 40 25 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 16 14 $1K
D2150 Silver amalgam - two surfaces, primary or permanent 16 13 $1K
D0272 Bitewings - two radiographic images 52 49 $516.00
D1999 117 117 $0.00