Ly, Phong

Ly, Phong was paid $583K by Medicaid between Sep 2018 and Mar 2023, across 28 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 30% of everything it billed.

33Billing provider infoLY, PHONG
COON RAPIDS, MN 55433

33aNPI1790131761assigned 05/10/2016

33bProvider typeDentist

28Total paid$583K

24GClaims16,438

24DCodes billed28

24AFirst – last monthSep 2018 – Mar 2023

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#22 of 192

Median peer was paid$9K

This provider vs. median64×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	82	$1K
2019	1,967	$60K
2020	5,031	$163K
2021	8,477	$305K
2022	850	$54K
2023	31	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	30%	2,208	682	$175K
D0330	Panoramic radiographic image	15%	2,088	1,949	$89K
D2150	Silver amalgam - two surfaces, primary or permanent	11%	1,078	417	$62K
D0150	Comprehensive oral evaluation - new or established patient	7.6%	2,105	1,968	$44K
D0274	Bitewings - four radiographic images	6.9%	1,804	1,714	$40K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.4%	918	331	$32K
D2160		4.9%	437	195	$29K
D1110	Prophylaxis - adult	4.6%	768	739	$27K
D0140	Limited oral evaluation - problem focused	3.7%	991	938	$22K
D7140	Extraction, erupted tooth or exposed root	1.7%	175	67	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.5%	273	127	$9K
D1206	Topical application of fluoride varnish	1.1%	408	399	$7K

16 more codes

D1120	Dental cleaning, child	1.0%	257	$6K
D0120	Dental checkup, returning patient	<1%	276	$5K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	175	$5K
D2331		<1%	61	$4K
D1208	Topical application of fluoride, excluding varnish	<1%	249	$4K
D2140		<1%	72	$3K
D0272	Bitewings - two radiographic images	<1%	155	$3K
D0220	Intraoral - periapical first radiographic image	<1%	268	$2K
D2161		<1%	27	$2K
D2330		<1%	31	$1K
D0180		<1%	1,387	$1K
D0270		<1%	130	$766.32
D0230	Intraoral - periapical each additional radiographic image	<1%	23	$114.40
D1330		<1%	32	$98.25
D2394		<1%	19	$78.94
D3120		0%	23	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.