Medicaid Provider Spending

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

LOAN K. NGUYEN DDS INC

NPI: 1891994810 · HUNTINGTON BEACH, CA 92648 · Dental Clinic/Center · NPI assigned 07/11/2007

$5K
Total Medicaid Paid
188
Total Claims
148
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialNGUYEN, LOAN (CEO)
NPI Enumeration Date07/11/2007

Related Entities

Other providers sharing the same authorized official: NGUYEN, LOAN

ProviderCityStateTotal Paid
LOAN NGUYEN, DDS PLLC SEATTLE WA $71K
TONTHAT AND NGUYEN PROFESSIONAL DENTAL CORPORATION HAYWARD CA $27K
LOAN MAI NGUYEN DDS INC SAN JOSE CA $354.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $671.00
2019 163 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 37 37 $2K
D0120 Periodic oral evaluation - established patient 38 38 $1K
D0274 Bitewings - four radiographic images 36 36 $756.00
D0230 Intraoral - periapical each additional radiographic image 77 37 $311.85