Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEARL DENTAL OF STAMFORD, PC

NPI: 1033510474 · STAMFORD, CT 06905 · General Practice Dentistry · NPI assigned 09/04/2014

$4K
Total Medicaid Paid
136
Total Claims
124
Beneficiaries
3
Codes Billed
2021-09
First Month
2024-04
Last Month

Provider Details

Authorized OfficialCHANNAMSETTY, KAVEETA (OWNER)
NPI Enumeration Date09/04/2014

Related Entities

Other providers sharing the same authorized official: CHANNAMSETTY, KAVEETA

ProviderCityStateTotal Paid
PEARL DENTAL OF TRUMBULL, PLLC TRUMBULL CT $26K
PEARL DENTAL OF NORWALK PLLC NORWALK CT $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 40 $1K
2022 50 $1K
2023 29 $914.13
2024 17 $411.25

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 40 38 $2K
D0120 Periodic oral evaluation - established patient 61 54 $1K
D1208 Topical application of fluoride, excluding varnish 35 32 $760.96