Medicaid Provider Spending

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

JOHN PHAM DMD INC

NPI: 1710625942 · ANAHEIM, CA 92804 · General Practice Dentistry · NPI assigned 05/26/2022

$13K
Total Medicaid Paid
332
Total Claims
308
Beneficiaries
6
Codes Billed
2022-09
First Month
2023-08
Last Month

Provider Details

Authorized OfficialPHAM, JOHN (PRESIDENT)
NPI Enumeration Date05/26/2022

Related Entities

Other providers sharing the same authorized official: PHAM, JOHN

ProviderCityStateTotal Paid
JOHN C PHAM DMD INC ROSEMEAD CA $578K
CARDINAL FAMILY MEDICINE, LLC PORTLAND OR $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 57 $4K
2023 275 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 133 133 $9K
D1208 Topical application of fluoride, excluding varnish 110 108 $2K
D0210 Intraoral - complete series of radiographic images 28 28 $1K
D1110 Prophylaxis - adult 12 12 $990.00
D1320 12 12 $210.00
D0230 Intraoral - periapical each additional radiographic image 37 15 $149.85