TONY T CHI DMD INC
NPI: 1811308083
· LONG BEACH, CA 90802
· Special Hospital
· NPI assigned 05/09/2014
$672K
Total Medicaid Paid
Provider Details
| Authorized Official | CHI, TONY (PRESIDENT) |
| NPI Enumeration Date | 05/09/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,332 |
$149K |
| 2019 |
994 |
$120K |
| 2020 |
757 |
$77K |
| 2021 |
1,068 |
$100K |
| 2022 |
1,073 |
$101K |
| 2023 |
965 |
$87K |
| 2024 |
510 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7230 |
|
1,302 |
603 |
$245K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,827 |
1,824 |
$115K |
| D9220 |
|
366 |
366 |
$75K |
| D9222 |
|
484 |
484 |
$57K |
| D0330 |
Panoramic radiographic image |
1,809 |
1,803 |
$53K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
453 |
452 |
$52K |
| D7240 |
Removal of impacted tooth - completely bony |
219 |
131 |
$50K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
211 |
113 |
$25K |
| 70355 |
|
28 |
28 |
$577.37 |