Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › CANOGA PARK › KHANH D. LE, D.D.S.

KHANH D. LE, D.D.S.

NPI: 1942496823 · CANOGA PARK, CA 91303 · Dental Clinic/Center · NPI assigned 09/24/2007

$93K
Total Medicaid Paid
3,517
Total Claims
3,513
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialLE, KHANH (OWNER)
NPI Enumeration Date09/24/2007

Related Entities

Other providers sharing the same authorized official: LE, KHANH

ProviderCityStateTotal Paid
POMONA VALLEY OPTOMETRY INC POMONA CA $490K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,077 $25K
2019 974 $26K
2020 621 $16K
2021 685 $18K
2022 160 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 953 951 $42K
D1120 Prophylaxis - child 1,124 1,122 $35K
D1208 Topical application of fluoride, excluding varnish 1,151 1,151 $13K
D0272 Bitewings - two radiographic images 289 289 $3K