NGUYEN LY NGUY DENTAL CORP
NPI: 1790258556
· CORONA, CA 92880
· Pediatric Dentist
· NPI assigned 01/04/2019
Provider Details
| Authorized Official | LY, TUAN (OWNER/PARTNER) |
| Parent Organization | WEST CORONA DENTISTRY |
| NPI Enumeration Date | 01/04/2019 |
Related Entities
Other providers sharing the same authorized official: LY, TUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
111 |
$3K |
| 2023 |
52 |
$2K |
| 2024 |
227 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
110 |
110 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
109 |
109 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$858.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
144 |
55 |
$793.80 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$630.00 |