Medicaid Provider Spending

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

PRECIOUS DENTAL SERVICE PLC

NPI: 1144607896 · ELOY, AZ 85131 · General Practice Dentistry · NPI assigned 05/01/2015

$1K
Total Medicaid Paid
179
Total Claims
150
Beneficiary Records
5
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialGUMMADI, ASHAKIRAN (DENTIST)
NPI Enumeration Date05/01/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56 $981.58
2020 110 $58.65
2021 13 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0274 Bitewings - four radiographic images 14 14 $327.89
D0120 Periodic oral evaluation - established patient 13 13 $307.24
D1206 Topical application of fluoride varnish 14 12 $193.41
D0220 Intraoral - periapical first radiographic image 28 24 $153.04
D1999 110 87 $58.65