Medicaid Provider Spending

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

PEARL DENTAL OF NORWALK PLLC

NPI: 1083367874 · NORWALK, CT 06850 · Dental Clinic/Center · NPI assigned 02/01/2022

$4K
Total Medicaid Paid
124
Total Claims
108
Beneficiaries
4
Codes Billed
2023-08
First Month
2024-04
Last Month

Provider Details

Authorized OfficialCHANNAMSETTY, KAVEETA (OWNER)
NPI Enumeration Date02/01/2022

Related Entities

Other providers sharing the same authorized official: CHANNAMSETTY, KAVEETA

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 109 $3K
2024 15 $376.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 61 51 $1K
D1120 Prophylaxis - child 34 30 $1K
D0274 Bitewings - four radiographic images 14 14 $579.36
D1206 Topical application of fluoride varnish 15 13 $312.33