HANUBAL GOPALASWAMY DENTAL SVCS.PC
NPI: 1073743928
· SPRING VALLEY, NY 10977
· General Practice Dentistry
· NPI assigned 07/24/2009
$186K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GOPALASWAMY, HANUBAL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
498 |
$17K |
| 2019 |
688 |
$19K |
| 2020 |
1,132 |
$26K |
| 2021 |
1,470 |
$34K |
| 2022 |
1,304 |
$32K |
| 2023 |
1,215 |
$30K |
| 2024 |
1,066 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,980 |
1,978 |
$87K |
| D0120 |
Periodic oral evaluation - established patient |
1,938 |
1,936 |
$43K |
| D0230 |
Intraoral - periapical each additional radiographic image |
937 |
936 |
$22K |
| D0210 |
Intraoral - complete series of radiographic images |
1,194 |
1,191 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
1,125 |
1,123 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
142 |
142 |
$2K |
| D1120 |
Prophylaxis - child |
45 |
43 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$269.28 |