Medicaid Provider Spending

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

ISAAC J. CHEN, D.D.S., INC.

NPI: 1922010206 · SAN GABRIEL, CA 91776 · General Practice Dentistry · NPI assigned 08/13/2006

$16K
Total Medicaid Paid
1,460
Total Claims
1,278
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialCHEN, ISAAC (PRESIDENT)
NPI Enumeration Date08/13/2006

Related Entities

Other providers sharing the same authorized official: CHEN, ISAAC

ProviderCityStateTotal Paid
ISAAC CHEN DENTAL CORPORATION PICO RIVERA CA $523K
ISAAC J. CHEN, D.D.S., INC. MONTEREY PARK CA $30K
ISAAC CHEN DENTAL PRACTICE INC. LOS ANGELES CA $28K
ISAAC CHEN DENTAL CORPORATION ROSEMEAD CA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 713 $5K
2019 274 $2K
2020 26 $127.05
2021 131 $4K
2022 83 $1K
2023 233 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 267 264 $6K
D1110 Prophylaxis - adult 64 64 $2K
D1206 Topical application of fluoride varnish 146 146 $2K
D0230 Intraoral - periapical each additional radiographic image 508 334 $1K
D0220 Intraoral - periapical first radiographic image 247 242 $964.00
D0274 Bitewings - four radiographic images 120 120 $804.60
D0150 Comprehensive oral evaluation - new or established patient 12 12 $754.00
D1208 Topical application of fluoride, excluding varnish 29 29 $650.80
D1120 Prophylaxis - child 29 29 $576.00
D0210 Intraoral - complete series of radiographic images 12 12 $274.00
D0272 Bitewings - two radiographic images 26 26 $148.00