Adrienne Ngoc Lan Van, DDS, INC.

Adrienne Ngoc Lan Van, DDS, INC. was paid $4K by Medicaid between May 2018 and Sep 2019, across 4 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 48% of everything it billed.

33Billing provider infoADRIENNE NGOC LAN VAN, DDS, INC.
SAN JOSE, CA 95112

33aNPI1922455575assigned 05/24/2016

33bProvider typePreferred Provider Organization

28Total paid$4K

24GClaims563

24DCodes billed4

24AFirst – last monthMay 2018 – Sep 2019

Compared with peers

Next to other Preferred Provider Organization providers in California

Rank by total paid#80 of 100

Median peer was paid$80K

This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	483	$3K
2019	80	$876.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0230	Intraoral - periapical each additional radiographic image	48%	475	74	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	27	27	$795.00
D0220	Intraoral - periapical first radiographic image	15%	48	48	$536.00
D1110	Prophylaxis - adult	15%	13	13	$520.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialVAN, ADRIENNE (DENTIST)

Parent organizationADRIENNE NGOC LAN VAN, DDS, INC