SPARKLE DENTAL CENTER
NPI: 1700920188
· DALLAS, TX 75219
· Dental Clinic/Center
· NPI assigned 02/17/2007
$970.09
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, TUAN (PRESIDENT) |
| NPI Enumeration Date | 02/17/2007 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, TUAN
| Provider | City | State | Total Paid |
|---|
| GOLDEN HEARTS CARE LLC |
KANSAS CITY |
MO |
$4.28M |
| KIDZ CARDIOLOGY, INC |
WICHITA |
KS |
$1.96M |
| OC CARDIOVASCULAR CARE, INC. |
FOUNTAIN VALLEY |
CA |
$1.87M |
| TUAN H. NGUYEN, D.D.S., INC. |
STOCKTON |
CA |
$1.46M |
| TUAN NGUYEN, M.D., INC |
SAN DIEGO |
CA |
$1.22M |
| TUAN D NGUYEN, DDS, INC |
RANCHO CUCAMONGA |
CA |
$363K |
| TUAN DUC NGUYEN CHIROPRACTIC INC. |
GARDEN GROVE |
CA |
$277K |
| HITECH DENTAL HOUSTON PLLC |
HOUSTON |
TX |
$11K |
| STDK MEDICAL INC. |
SAN JOSE |
CA |
$3K |
| TUAN NGUYEN, DDS, PC |
FAIRFAX |
VA |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
62 |
$970.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$375.05 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
12 |
$253.22 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$191.10 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$150.72 |