Medicaid Provider Spending

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

SHIREEN CHOUDHURY DDS A PROFESSIONAL DENTAL CORPORATION

NPI: 1073788170 · MOUNTAIN VIEW, CA 94040 · General Practice Dentistry · NPI assigned 04/29/2008

$11K
Total Medicaid Paid
657
Total Claims
596
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialCHOUDHURY, SHIREEN (PRESIDENT)
NPI Enumeration Date04/29/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 311 $6K
2019 319 $5K
2020 27 $504.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 202 202 $6K
D1208 Topical application of fluoride, excluding varnish 245 239 $2K
D0120 Periodic oral evaluation - established patient 61 60 $1K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $1K
D0230 Intraoral - periapical each additional radiographic image 111 57 $420.15
D0274 Bitewings - four radiographic images 12 12 $237.60