Medicaid Provider Spending

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

FU DENTAL CORP

NPI: 1942321476 · HUNTINGTON BEACH, CA 92647 · General Practice Dentistry · NPI assigned 04/02/2007

$37K
Total Medicaid Paid
948
Total Claims
784
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialYU, NINA (OFFICIER)
NPI Enumeration Date04/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 165 $6K
2019 12 $792.00
2020 74 $4K
2021 190 $4K
2022 109 $5K
2023 112 $5K
2024 286 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 151 151 $11K
D0150 Comprehensive oral evaluation - new or established patient 155 155 $9K
D0210 Intraoral - complete series of radiographic images 141 141 $6K
D4910 51 51 $4K
D4341 43 12 $3K
D0274 Bitewings - four radiographic images 64 64 $1K
D1208 Topical application of fluoride, excluding varnish 114 114 $1K
D1110 Prophylaxis - adult 12 12 $1K
D0230 Intraoral - periapical each additional radiographic image 205 72 $847.47
D1120 Prophylaxis - child 12 12 $360.00