Medicaid Provider Spending

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

XIANG NING HAN DDS DENTAL CORPORATION

NPI: 1821188277 · MONTCLAIR, CA 91763 · General Practice Dentistry · NPI assigned 10/14/2006

$25K
Total Medicaid Paid
981
Total Claims
976
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAN, XIANG NING (PRESIDENT)
NPI Enumeration Date10/14/2006

Related Entities

Other providers sharing the same authorized official: HAN, XIANG NING

ProviderCityStateTotal Paid
XIANG NING HAN D.D.S DENTAL CORPORATION FONTANA CA $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 257 $5K
2019 117 $2K
2020 14 $185.00
2021 100 $2K
2022 68 $2K
2023 153 $3K
2024 272 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 180 180 $10K
D1208 Topical application of fluoride, excluding varnish 513 513 $6K
D0230 Intraoral - periapical each additional radiographic image 170 165 $3K
D0150 Comprehensive oral evaluation - new or established patient 40 40 $2K
D1120 Prophylaxis - child 50 50 $2K
D1110 Prophylaxis - adult 15 15 $1K
D0220 Intraoral - periapical first radiographic image 13 13 $156.00