RONG D. LU, D.M.D., P.C.
NPI: 1871233882
· OAKLAND, CA 94607
· Dentist
· NPI assigned 03/29/2022
$167K
Total Medicaid Paid
Provider Details
| Authorized Official | LON, KAKEI (VICE PRESIDENT) |
| NPI Enumeration Date | 03/29/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,021 |
$140K |
| 2024 |
592 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
571 |
571 |
$49K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
693 |
693 |
$44K |
| D0210 |
Intraoral - complete series of radiographic images |
717 |
717 |
$33K |
| D7140 |
Extraction, erupted tooth or exposed root |
365 |
196 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
673 |
672 |
$10K |
| D9430 |
|
207 |
199 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
140 |
137 |
$2K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
188 |
83 |
$761.40 |
| D0120 |
Periodic oral evaluation - established patient |
33 |
33 |
$45.00 |