Medicaid Provider Spending

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

FRED Y CHEN DMD LLC

NPI: 1740061027 · AIEA, HI 96701 · Pediatric Dentist · NPI assigned 10/11/2023

$4K
Total Medicaid Paid
179
Total Claims
178
Beneficiaries
6
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHEN, FRED (MEMBER)
NPI Enumeration Date10/11/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 179 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 67 67 $2K
D0150 Comprehensive oral evaluation - new or established patient 16 16 $709.20
D0220 Intraoral - periapical first radiographic image 50 49 $586.56
D0272 Bitewings - two radiographic images 14 14 $259.61
D1208 Topical application of fluoride, excluding varnish 13 13 $258.06
D0230 Intraoral - periapical each additional radiographic image 19 19 $184.62