Medicaid Provider Spending

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

CHIEU PHAM DDS INC

NPI: 1740535848 · SAN DIEGO, CA 92130 · Pediatric Dentist · NPI assigned 07/16/2012

$25K
Total Medicaid Paid
732
Total Claims
667
Beneficiaries
5
Codes Billed
2023-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPHAM, CHIEU (OWNER)
NPI Enumeration Date07/16/2012

Related Entities

Other providers sharing the same authorized official: PHAM, CHIEU

ProviderCityStateTotal Paid
CHIEU PHAM DENTAL CORPORATION CHULA VISTA CA $1.54M
PHAM AND MAUSETH DDS INC SAN DIEGO CA $793K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 241 $8K
2024 491 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 310 310 $16K
D0120 Periodic oral evaluation - established patient 74 74 $5K
D1206 Topical application of fluoride varnish 230 230 $4K
D0230 Intraoral - periapical each additional radiographic image 106 41 $453.60
D1208 Topical application of fluoride, excluding varnish 12 12 $255.00