MICHAEL CHANG DDS PC

NPI: 1760099782 · GAITHERSBURG, MD 20877 · Dental Clinic/Center · NPI assigned 09/24/2020

$70K

Total Medicaid Paid

1,596

Total Claims

1,527

Beneficiaries

Codes Billed

2023-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	CHANG, MICHAEL (DENTIST)
NPI Enumeration Date	09/24/2020

Other providers sharing the same authorized official: CHANG, MICHAEL

Provider	City	State	Total Paid
MICHAEL CHANG DENTAL CORP	RIALTO	CA	$3.94M
DR. MICHAEL S. CHANG O.D. INC.	ARTESIA	CA	$347K
PALISADE HEALTH ASSOCIATES, P A	NEW MILFORD	NJ	$4K
MICHAEL CHANG ONTARIO DENTAL CORP	ONTARIO	CA	$3K
MICHAEL Y. CHANG, D.O., P.A.	THE WOODLANDS	TX	$0.00

Year	Claims	Total Paid
2023	981	$45K
2024	615	$24K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	400	398	$26K
D0120	Periodic oral evaluation - established patient	340	339	$11K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	71	40	$9K
D0150	Comprehensive oral evaluation - new or established patient	141	139	$8K
D0274	Bitewings - four radiographic images	289	287	$7K
D0330	Panoramic radiographic image	108	107	$5K
D0220	Intraoral - periapical first radiographic image	190	179	$2K
D3120		44	25	$2K
D0230	Intraoral - periapical each additional radiographic image	13	13	$131.20