Medicaid Provider Spending

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

SHEUNG L FAN DDS INC

NPI: 1982897039 · EL MONTE, CA 91732 · Dental Clinic/Center · NPI assigned 08/22/2007

$12K
Total Medicaid Paid
397
Total Claims
343
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialFAN, SHEUNG (PRESIDENT)
NPI Enumeration Date08/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 225 $4K
2019 74 $3K
2020 24 $674.00
2021 25 $1K
2022 24 $2K
2023 25 $897.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 125 125 $5K
D1110 Prophylaxis - adult 49 49 $4K
D1208 Topical application of fluoride, excluding varnish 157 157 $2K
D0230 Intraoral - periapical each additional radiographic image 66 12 $210.00