Medicaid Provider Spending

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

TIEN MANH TRAN DDS, INC.

NPI: 1952703423 · SAN JOSE, CA 95111 · Dentist · NPI assigned 09/16/2014

$40K
Total Medicaid Paid
2,136
Total Claims
1,481
Beneficiaries
15
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialTRAN, TIEN (PRESIDENT)
NPI Enumeration Date09/16/2014

Related Entities

Other providers sharing the same authorized official: TRAN, TIEN

ProviderCityStateTotal Paid
TIEN TRAN DMD INC. MENIFEE CA $75K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,136 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 235 235 $7K
D2150 Silver amalgam - two surfaces, primary or permanent 98 45 $6K
D1120 Prophylaxis - child 213 212 $6K
D1110 Prophylaxis - adult 80 80 $4K
D0274 Bitewings - four radiographic images 150 150 $3K
D0230 Intraoral - periapical each additional radiographic image 796 288 $3K
D2140 48 27 $3K
D0150 Comprehensive oral evaluation - new or established patient 75 73 $2K
D1206 Topical application of fluoride varnish 216 215 $2K
D0210 Intraoral - complete series of radiographic images 50 44 $2K
D1351 Sealant - per tooth 66 15 $1K
D1208 Topical application of fluoride, excluding varnish 51 51 $308.00
D0220 Intraoral - periapical first radiographic image 14 14 $140.00
D0272 Bitewings - two radiographic images 13 12 $120.00
D0350 31 20 $114.00