Medicaid Provider Spending

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

VAN KIM NGUYEN,D.D.S.,INC

NPI: 1821379868 · POMONA, CA 91767 · Dentist · NPI assigned 09/05/2011

$27K
Total Medicaid Paid
963
Total Claims
890
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialNGUYENT, VAN (CEO)
NPI Enumeration Date09/05/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 161 $3K
2019 161 $4K
2020 58 $796.25
2021 245 $7K
2022 143 $5K
2023 149 $6K
2024 46 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 76 76 $7K
D0120 Periodic oral evaluation - established patient 94 94 $5K
D1208 Topical application of fluoride, excluding varnish 416 412 $5K
D0230 Intraoral - periapical each additional radiographic image 165 127 $3K
D1120 Prophylaxis - child 52 52 $2K
D4341 42 12 $2K
D0210 Intraoral - complete series of radiographic images 41 41 $2K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $1K
D0220 Intraoral - periapical first radiographic image 50 49 $574.00