Medicaid Provider Spending

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

NGOC LAN VO D.D.S. INC.

NPI: 1891001566 · ARCADIA, CA 91007 · General Practice Dentistry · NPI assigned 08/19/2010

$39K
Total Medicaid Paid
708
Total Claims
635
Beneficiaries
7
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVO, NGOC LAN (PRESIDENT)
NPI Enumeration Date08/19/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $1K
2019 12 $775.50
2021 38 $2K
2022 120 $4K
2023 186 $9K
2024 338 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 225 225 $20K
D0120 Periodic oral evaluation - established patient 108 108 $8K
D0150 Comprehensive oral evaluation - new or established patient 108 108 $8K
D0210 Intraoral - complete series of radiographic images 28 28 $1K
D0274 Bitewings - four radiographic images 61 61 $1K
D0230 Intraoral - periapical each additional radiographic image 152 79 $619.11
D1208 Topical application of fluoride, excluding varnish 26 26 $320.00