Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KUDO CARE DENTAL PLLC

NPI: 1811419070 · IRVING, TX 75062 · General Practice Dentistry · NPI assigned 07/10/2017

$96K
Total Medicaid Paid
5,844
Total Claims
5,612
Beneficiaries
11
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNGUYEN, ANH (PRESIDENT)
NPI Enumeration Date07/10/2017

Related Entities

Other providers sharing the same authorized official: NGUYEN, ANH

ProviderCityStateTotal Paid
DR A NGUYEN DDS INC NEWPORT BEACH CA $1.39M
ANH TAI NGUYEN,MD WEST VALLEY CITY UT $552K
NGUYEN & FOSTER CORP SANTA ANA CA $103K
KUDO CARE MEDICAL PLLC IRVING TX $34K
FAIR LAKES OPTOMETRY FAIRFAX VA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 132 $2K
2021 1,376 $23K
2022 1,487 $25K
2023 1,544 $26K
2024 1,305 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,016 1,003 $28K
D1208 Topical application of fluoride, excluding varnish 1,213 1,196 $17K
D1120 Prophylaxis - child 384 380 $14K
D0220 Intraoral - periapical first radiographic image 825 808 $9K
D0272 Bitewings - two radiographic images 436 427 $8K
D0230 Intraoral - periapical each additional radiographic image 853 695 $8K
D1110 Prophylaxis - adult 145 144 $8K
D0274 Bitewings - four radiographic images 117 116 $3K
D0330 Panoramic radiographic image 14 14 $442.48
D0603 549 541 $0.00
D0602 292 288 $0.00