PHONG NGUYEN D.D.S. PC
NPI: 1861637951
· HOUSTON, TX 77065
· General Practice Dentistry
· NPI assigned 12/03/2008
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, PHONG (PRESIDENT) |
| Parent Organization | PHONG NGUYEN D.D.S |
| NPI Enumeration Date | 12/03/2008 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, PHONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
178 |
$2K |
| 2021 |
2,598 |
$52K |
| 2022 |
2,416 |
$44K |
| 2023 |
1,982 |
$30K |
| 2024 |
862 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,138 |
1,103 |
$31K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
285 |
127 |
$27K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,375 |
1,337 |
$19K |
| D1120 |
Prophylaxis - child |
490 |
480 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,505 |
1,097 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,140 |
1,111 |
$14K |
| D0274 |
Bitewings - four radiographic images |
122 |
117 |
$4K |
| D1110 |
Prophylaxis - adult |
75 |
70 |
$4K |
| D0272 |
Bitewings - two radiographic images |
137 |
137 |
$3K |
| D1351 |
Sealant - per tooth |
60 |
15 |
$1K |
| D0603 |
|
1,709 |
1,646 |
$0.00 |