Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Van Kim Nguyen,d.D.S.,Inc

Van Kim Nguyen,d.D.S.,Inc was paid $27K by Medicaid between Jan 2018 and Jul 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.

33Billing provider infoVAN KIM NGUYEN,D.D.S.,INC
POMONA, CA 91767
33aNPI1821379868assigned 09/05/2011
33bProvider typeDentist
28Total paid$27K
24GClaims963
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,690 of 2,314
Median peer was paid$185K
This provider vs. median0.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018161$3K
2019161$4K
202058$796.25
2021245$7K
2022143$5K
2023149$6K
2024incomplete46$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 24% 76 76 $7K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 94 94 $5K
D1208 Topical application of fluoride, excluding varnish 18% 416 412 $5K
D0230 Intraoral - periapical each additional radiographic image 9.5% 165 127 $3K
D1120 Dental cleaning, childProphylaxis - child 7.9% 52 52 $2K
D4341 7.7% 42 12 $2K
D0210 Intraoral - complete series of radiographic images 7.0% 41 41 $2K
D0150 Comprehensive oral evaluation - new or established patient 5.0% 27 27 $1K
D0220 Intraoral - periapical first radiographic image 2.1% 50 49 $574.00

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.

From NPPES

Who's on the registration

Authorized officialNGUYENT, VAN (CEO)