ADRIENNE NGOC LAN VAN, DDS, INC.
NPI: 1922455575
· SAN JOSE, CA 95112
· Preferred Provider Organization
· NPI assigned 05/24/2016
Provider Details
| Authorized Official | VAN, ADRIENNE (DENTIST) |
| Parent Organization | ADRIENNE NGOC LAN VAN, DDS, INC |
| NPI Enumeration Date | 05/24/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
483 |
$3K |
| 2019 |
80 |
$876.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
475 |
74 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$795.00 |
| D0220 |
Intraoral - periapical first radiographic image |
48 |
48 |
$536.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$520.00 |