Medicaid Provider Spending

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

ANDREW T VO, D.D.S., A PROFESSIONAL CORPORATION.

NPI: 1861261125 · COSTA MESA, CA 92627 · Pediatric Dentist · NPI assigned 12/28/2023

$6K
Total Medicaid Paid
215
Total Claims
213
Beneficiary Records
5
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVO, ANDREW (PEDIATRIC DENTIST/OWNER)
NPI Enumeration Date12/28/2023

Related Entities

Other providers sharing the same authorized official: VO, ANDREW

ProviderCityStateTotal Paid
NORTHERN VIRGINIA ENDODONTIC SOLUTIONS FAIRFAX VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 215 $6K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 55 55 $3K
D1310 58 56 $2K
D1208 Topical application of fluoride, excluding varnish 45 45 $1K
D0603 13 13 $165.00
D1330 44 44 $0.00