LAN MONG TRAN
NPI: 1760648307
· SAN ANTONIO, TX 78227
· Dentist
· NPI assigned 08/04/2008
$237K
Total Medicaid Paid
11,205
Beneficiary Records
Provider Details
| Authorized Official | TRAN, LAN (OWNER) |
| NPI Enumeration Date | 08/04/2008 |
Related Entities
Other providers sharing the same authorized official: TRAN, LAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
534 |
$10K |
| 2021 |
3,530 |
$82K |
| 2022 |
3,090 |
$63K |
| 2023 |
2,775 |
$55K |
| 2024 |
1,553 |
$26K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,610 |
1,577 |
$45K |
| D1110 |
Prophylaxis - adult |
688 |
675 |
$36K |
| D1120 |
Prophylaxis - child |
919 |
897 |
$32K |
| D0274 |
Bitewings - four radiographic images |
998 |
983 |
$30K |
| D0145 |
Oral evaluation for a patient under three years of age |
209 |
200 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,708 |
1,660 |
$24K |
| D0220 |
Intraoral - periapical first radiographic image |
1,622 |
1,573 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,541 |
1,509 |
$16K |
| D0272 |
Bitewings - two radiographic images |
310 |
307 |
$6K |
| D0330 |
Panoramic radiographic image |
83 |
81 |
$2K |
| D0601 |
|
1,352 |
1,307 |
$0.00 |
| D0602 |
|
190 |
187 |
$0.00 |
| D0603 |
|
252 |
249 |
$0.00 |