Medicaid Provider Spending

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

JIMMY NGUYEN DDS INC

NPI: 1881295384 · CHINO HILLS, CA 91709 · General Practice Dentistry · NPI assigned 11/03/2020

$6K
Total Medicaid Paid
176
Total Claims
136
Beneficiaries
5
Codes Billed
2022-04
First Month
2023-01
Last Month

Provider Details

Authorized OfficialNGUYEN, JIMMY (DENTIST/OWNER)
Parent OrganizationJIMMY NGUYEN, DDS INC
NPI Enumeration Date11/03/2020

Related Entities

Other providers sharing the same authorized official: NGUYEN, JIMMY

ProviderCityStateTotal Paid
JIMMY NGUYEN D.D.S., INC RIVERSIDE CA $1.35M
JUN FAMILY DENTISTRY FORT WORTH TX $372K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 164 $6K
2023 12 $171.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 38 38 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 31 14 $2K
D1208 Topical application of fluoride, excluding varnish 59 59 $885.00
D0210 Intraoral - complete series of radiographic images 12 12 $576.00
D0230 Intraoral - periapical each additional radiographic image 36 13 $149.85