Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OU AND CHAN DENTAL INC

NPI: 1710068317 · CHINO, CA 91710 · General Practice Dentistry · NPI assigned 10/18/2006

$31K
Total Medicaid Paid
2,972
Total Claims
1,345
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialOU, SU HWEI (PRESIDENT)
NPI Enumeration Date10/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 930 $9K
2019 1,014 $13K
2020 524 $3K
2021 380 $3K
2022 124 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 2,135 519 $9K
D0272 Bitewings - two radiographic images 407 404 $5K
D0120 Periodic oral evaluation - established patient 108 107 $5K
D1110 Prophylaxis - adult 48 48 $4K
D0150 Comprehensive oral evaluation - new or established patient 68 68 $4K
D1120 Prophylaxis - child 67 67 $2K
D9430 45 40 $1K
D1208 Topical application of fluoride, excluding varnish 66 66 $599.00
D1330 14 14 $0.00
D1999 14 12 $0.00