PHAN, DUY-MAN
NPI: 1982770913
· FAIRFAX, VA 22031
· General Practice Dentistry
· NPI assigned 11/28/2006
$125K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
742 |
$22K |
| 2019 |
646 |
$15K |
| 2020 |
717 |
$20K |
| 2021 |
813 |
$22K |
| 2022 |
911 |
$33K |
| 2023 |
836 |
$13K |
| 2024 |
420 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,701 |
1,699 |
$29K |
| D1120 |
Prophylaxis - child |
904 |
901 |
$26K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,406 |
1,402 |
$26K |
| D1110 |
Prophylaxis - adult |
581 |
580 |
$22K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
187 |
89 |
$15K |
| D0274 |
Bitewings - four radiographic images |
291 |
291 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
12 |
$375.72 |