VINCENT DO DDS INC
NPI: 1912119306
· LONG BEACH, CA 90813
· Preferred Provider Organization
· NPI assigned 05/05/2007
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | DO, VINCENT (OWNER) |
| NPI Enumeration Date | 05/05/2007 |
Related Entities
Other providers sharing the same authorized official: DO, VINCENT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,331 |
$35K |
| 2019 |
2,072 |
$35K |
| 2020 |
1,038 |
$13K |
| 2021 |
966 |
$11K |
| 2022 |
1,022 |
$17K |
| 2023 |
1,108 |
$22K |
| 2024 |
695 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
626 |
625 |
$31K |
| D0274 |
Bitewings - four radiographic images |
1,316 |
1,311 |
$26K |
| D4910 |
|
292 |
290 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,080 |
1,335 |
$21K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,133 |
1,129 |
$13K |
| D1120 |
Prophylaxis - child |
382 |
381 |
$12K |
| D1110 |
Prophylaxis - adult |
131 |
130 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
114 |
113 |
$6K |
| D9430 |
|
80 |
80 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
33 |
14 |
$2K |
| D1351 |
Sealant - per tooth |
45 |
12 |
$990.00 |