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KIET NGUYEN DMD DENTAL PROFESSIONAL CORPORATION
KIET NGUYEN DMD DENTAL PROFESSIONAL CORPORATION
NPI: 1710382361
· SAN JOSE, CA 95112
· Dentist
· NPI assigned 10/24/2014
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, KIET (PRESIDENT) |
| NPI Enumeration Date | 10/24/2014 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, KIET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,153 |
$20K |
| 2019 |
1,927 |
$25K |
| 2020 |
974 |
$14K |
| 2021 |
1,164 |
$17K |
| 2022 |
1,420 |
$21K |
| 2023 |
988 |
$20K |
| 2024 |
900 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
663 |
660 |
$34K |
| D1110 |
Prophylaxis - adult |
378 |
376 |
$32K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,356 |
1,362 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,463 |
1,447 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,306 |
1,295 |
$16K |
| D1120 |
Prophylaxis - child |
293 |
289 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
67 |
$4K |