RANDY TRUNG-QUY NGUYEN, DDS A DENTAL CORPORATION
NPI: 1750521365
· SANTA ROSA, CA 95404
· General Practice Dentistry
· NPI assigned 02/23/2009
$1.54M
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, RANDY (PRESIDENT) |
| NPI Enumeration Date | 02/23/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,321 |
$225K |
| 2019 |
4,064 |
$170K |
| 2020 |
3,714 |
$160K |
| 2021 |
4,538 |
$198K |
| 2022 |
5,069 |
$244K |
| 2023 |
4,904 |
$239K |
| 2024 |
5,962 |
$302K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
4,481 |
4,462 |
$379K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,346 |
4,332 |
$273K |
| D0120 |
Periodic oral evaluation - established patient |
3,260 |
3,248 |
$173K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
2,358 |
1,333 |
$153K |
| D1120 |
Prophylaxis - child |
3,975 |
3,962 |
$152K |
| D0210 |
Intraoral - complete series of radiographic images |
2,965 |
2,952 |
$139K |
| D0274 |
Bitewings - four radiographic images |
4,398 |
4,384 |
$92K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,652 |
5,537 |
$90K |
| D9430 |
|
862 |
854 |
$27K |
| D2160 |
|
254 |
170 |
$20K |
| D1351 |
Sealant - per tooth |
590 |
103 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
1,142 |
1,139 |
$13K |
| D2140 |
|
65 |
50 |
$3K |
| D2330 |
|
32 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
192 |
191 |
$2K |