Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › NORTH EASTON › ELITE DENTAL GROUP PC

ELITE DENTAL GROUP PC

NPI: 1043645336 · NORTH EASTON, MA 02356 · Dental Clinic/Center · NPI assigned 09/05/2013

$10K
Total Medicaid Paid
231
Total Claims
229
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGOBICHETTYPALAYAM, SATHISH (PRESIDENT)
NPI Enumeration Date09/05/2013

Related Entities

Other providers sharing the same authorized official: GOBICHETTYPALAYAM, SATHISH

ProviderCityStateTotal Paid
HAPPY KIDS DENTAL FRAMINGHAM MA $360K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $2K
2019 51 $2K
2020 44 $2K
2021 26 $1K
2022 29 $2K
2023 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 172 171 $9K
D0120 Periodic oral evaluation - established patient 45 44 $959.00
D0274 Bitewings - four radiographic images 14 14 $502.00