Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LA HABRA › TOM VU DENTAL CORP

TOM VU DENTAL CORP

NPI: 1689811564 · LA HABRA, CA 90631 · Preferred Provider Organization · NPI assigned 01/14/2009

$25K
Total Medicaid Paid
1,398
Total Claims
964
Beneficiaries
7
Codes Billed
2018-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialVU, TOM (DENTIST)
NPI Enumeration Date01/14/2009

Related Entities

Other providers sharing the same authorized official: VU, TOM

ProviderCityStateTotal Paid
LA MAESTRA FAMILY CLINIC, INC. SAN DIEGO CA $1.32M
TOM VU DENTAL CORP HUNTINGTON BEACH CA $298K
LA MAESTRA FAMILY CLINIC INC. EL CAJON CA $12K
LA MAESTRA FAMILY CLINIC INC EL CAJON CA $8K
LA MAESTRA FAMILY CLINIC, INC. SAN DIEGO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $311.85
2019 305 $5K
2020 314 $5K
2021 166 $3K
2022 159 $4K
2023 246 $3K
2024 183 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 869 458 $10K
D0274 Bitewings - four radiographic images 244 242 $5K
D0120 Periodic oral evaluation - established patient 69 67 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 34 16 $2K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $2K
D1208 Topical application of fluoride, excluding varnish 125 124 $1K
D1120 Prophylaxis - child 29 29 $1K