Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › GARDEN GROVE › LA PEARL DR.TUAN Q LE DDS INC

LA PEARL DR.TUAN Q LE DDS INC

NPI: 1730870437 · GARDEN GROVE, CA 92844 · Dental Clinic/Center · NPI assigned 05/15/2023

$53K
Total Medicaid Paid
801
Total Claims
756
Beneficiaries
6
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLE, TUAN (DOCTOR)
NPI Enumeration Date05/15/2023

Related Entities

Other providers sharing the same authorized official: LE, TUAN

ProviderCityStateTotal Paid
LE DENTAL LLC LAS VEGAS NV $73K
TUAN DAI LE, M.D, A PROFESSIONAL CORPORATION POMONA CA $19K
TUAN LE, M.D. A PROFESSIONAL CORPORATION SAN JOSE CA $7K
TJ PHARMACY LLC SAINT LOUIS MO $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 121 $7K
2024 680 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 284 284 $19K
D0210 Intraoral - complete series of radiographic images 268 268 $13K
D2751 Crown - porcelain fused to predominantly base metal 23 14 $11K
D1110 Prophylaxis - adult 66 66 $6K
D4341 49 13 $3K
D1208 Topical application of fluoride, excluding varnish 111 111 $2K