DESAI, KRUPA
NPI: 1124476114
· ZIONSVILLE, IN 46077
· Dentist
· NPI assigned 05/31/2016
$944.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
48 |
$944.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
20 |
15 |
$379.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$340.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
12 |
$223.90 |