Medicaid Provider Spending

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

BRIAN VONGCHANPHEN DDS, LLC

NPI: 1871076455 · WAHIAWA, HI 96786 · General Practice Dentistry · NPI assigned 09/10/2018

$12K
Total Medicaid Paid
509
Total Claims
509
Beneficiaries
5
Codes Billed
2018-08
First Month
2021-09
Last Month

Provider Details

Authorized OfficialVONGCHANPHEN, BRIAN (DENTIST)
NPI Enumeration Date09/10/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 259 $6K
2019 182 $5K
2020 56 $1K
2021 12 $349.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 236 236 $7K
D1120 Prophylaxis - child 67 67 $2K
D0272 Bitewings - two radiographic images 91 91 $2K
D1110 Prophylaxis - adult 36 36 $1K
D1208 Topical application of fluoride, excluding varnish 79 79 $734.48