Medicaid Provider Spending

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

VALUE DENTAL CENTERS CHINO CA - R J HOUCHIN DENTAL PRACTICE INC

NPI: 1932554540 · CHINO, CA 91710 · Dental Clinic/Center · NPI assigned 05/02/2016

$13K
Total Medicaid Paid
476
Total Claims
421
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialTRAN, TRACY (DIRECTOR)
NPI Enumeration Date05/02/2016

Related Entities

Other providers sharing the same authorized official: TRAN, TRACY

ProviderCityStateTotal Paid
TRACY T TRAN OD PC BROKEN ARROW OK $131K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 476 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 91 89 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 61 28 $3K
D0150 Comprehensive oral evaluation - new or established patient 93 91 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27 13 $1K
D1110 Prophylaxis - adult 29 28 $870.00
D1120 Prophylaxis - child 31 30 $780.00
D1208 Topical application of fluoride, excluding varnish 52 52 $376.00
D0330 Panoramic radiographic image 92 90 $100.00