Medicaid Provider Spending

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

TSAI HUA TAN DDS INC

NPI: 1720257017 · ROWLAND HEIGHTS, CA 91748 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 02/21/2008

$29K
Total Medicaid Paid
1,054
Total Claims
897
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialTAN, TSAI HUA (DENTIST)
NPI Enumeration Date02/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 659 $13K
2019 202 $6K
2020 84 $4K
2021 68 $3K
2024 41 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 433 428 $17K
D1110 Prophylaxis - adult 69 69 $5K
D0230 Intraoral - periapical each additional radiographic image 315 166 $3K
D1120 Prophylaxis - child 82 81 $2K
D0272 Bitewings - two radiographic images 142 140 $2K
D0210 Intraoral - complete series of radiographic images 13 13 $520.00