H-TOWN DENTAL ASSOCIATES PLLC
NPI: 1700371143
· HOUSTON, TX 77075
· Dentist
· NPI assigned 06/27/2018
$162K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, THU (DENTIST) |
| NPI Enumeration Date | 06/27/2018 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, THU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,907 |
$36K |
| 2023 |
3,443 |
$71K |
| 2024 |
2,874 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
2,733 |
921 |
$30K |
| D1120 |
Prophylaxis - child |
555 |
540 |
$19K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
187 |
95 |
$18K |
| D0145 |
Oral evaluation for a patient under three years of age |
129 |
129 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
641 |
627 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
958 |
933 |
$13K |
| D1110 |
Prophylaxis - adult |
244 |
242 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
979 |
955 |
$12K |
| D0274 |
Bitewings - four radiographic images |
273 |
269 |
$9K |
| D0272 |
Bitewings - two radiographic images |
239 |
233 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
96 |
90 |
$3K |
| D1351 |
Sealant - per tooth |
99 |
24 |
$3K |
| D0603 |
|
409 |
405 |
$0.00 |
| D0602 |
|
682 |
675 |
$0.00 |