NGUYEN FAMILY DENTAL, PA
NPI: 1922003557
· HOUSTON, TX 77034
· Dentist
· NPI assigned 06/20/2005
$228K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, KHANH (PRESIDENT) |
| NPI Enumeration Date | 06/20/2005 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, KHANH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
416 |
$7K |
| 2021 |
3,214 |
$62K |
| 2022 |
3,316 |
$65K |
| 2023 |
3,024 |
$59K |
| 2024 |
2,039 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,719 |
1,694 |
$49K |
| D1110 |
Prophylaxis - adult |
802 |
798 |
$43K |
| D1120 |
Prophylaxis - child |
938 |
925 |
$33K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,822 |
1,800 |
$26K |
| D0274 |
Bitewings - four radiographic images |
697 |
692 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
1,659 |
1,631 |
$19K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,595 |
1,570 |
$17K |
| D0272 |
Bitewings - two radiographic images |
694 |
685 |
$15K |
| D0210 |
Intraoral - complete series of radiographic images |
38 |
38 |
$3K |
| D0602 |
|
2,045 |
2,034 |
$0.00 |