TOM NGUYEN DDS INC
NPI: 1730232497
· LOS ANGELES, CA 90037
· General Practice Dentistry
· NPI assigned 01/18/2007
$190K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, TOM (PRESIDENT) |
| NPI Enumeration Date | 01/18/2007 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, TOM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,329 |
$35K |
| 2019 |
778 |
$20K |
| 2020 |
530 |
$17K |
| 2021 |
750 |
$20K |
| 2022 |
780 |
$30K |
| 2023 |
559 |
$21K |
| 2024 |
1,203 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
964 |
962 |
$52K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
691 |
291 |
$46K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,714 |
1,407 |
$30K |
| D1120 |
Prophylaxis - child |
784 |
779 |
$29K |
| D0274 |
Bitewings - four radiographic images |
975 |
969 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
624 |
622 |
$7K |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$1K |
| D0350 |
|
101 |
54 |
$960.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$120.00 |