INDRAVADAN D PATEL DDS INC
NPI: 1114482239
· ANAHEIM, CA 92805
· Dental Clinic/Center
· NPI assigned 02/02/2019
$261K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PATEL, INDRAVADAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
57 |
$3K |
| 2020 |
446 |
$16K |
| 2021 |
1,413 |
$30K |
| 2022 |
1,905 |
$51K |
| 2023 |
3,196 |
$77K |
| 2024 |
2,849 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
697 |
695 |
$52K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
617 |
616 |
$41K |
| D1110 |
Prophylaxis - adult |
424 |
423 |
$37K |
| D1120 |
Prophylaxis - child |
789 |
784 |
$36K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,386 |
1,374 |
$21K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,490 |
815 |
$19K |
| D0210 |
Intraoral - complete series of radiographic images |
376 |
375 |
$18K |
| D4910 |
|
194 |
194 |
$15K |
| D0274 |
Bitewings - four radiographic images |
357 |
357 |
$8K |
| D0350 |
|
349 |
125 |
$4K |
| D4341 |
|
52 |
13 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
39 |
13 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
30 |
14 |
$2K |
| D1351 |
Sealant - per tooth |
51 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$180.00 |