Medicaid Provider Spending

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

GD DENTISTRY OF STAMFORD PLLC

NPI: 1003664715 · STAMFORD, CT 06902 · Dental Clinic/Center · NPI assigned 05/08/2024

$11K
Total Medicaid Paid
433
Total Claims
384
Beneficiaries
8
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMURDAKHAYEV, ARSEN (DENTIST)
NPI Enumeration Date05/08/2024

Related Entities

Other providers sharing the same authorized official: MURDAKHAYEV, ARSEN

ProviderCityStateTotal Paid
GD DENTISTRY OF TRUMBULL TRUMBULL CT $100K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 433 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 78 67 $2K
D0150 Comprehensive oral evaluation - new or established patient 88 77 $2K
D0210 Intraoral - complete series of radiographic images 43 38 $2K
D1208 Topical application of fluoride, excluding varnish 102 88 $2K
D0274 Bitewings - four radiographic images 43 41 $1K
D0140 Limited oral evaluation - problem focused 35 33 $967.68
D0330 Panoramic radiographic image 16 12 $368.88
D0220 Intraoral - periapical first radiographic image 28 28 $352.26