Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › EAST HARTFORD › ADVANCE DENTAL CLINIC PC

ADVANCE DENTAL CLINIC PC

NPI: 1174166631 · EAST HARTFORD, CT 06108 · General Practice Dentistry · NPI assigned 10/28/2019

$46K
Total Medicaid Paid
1,271
Total Claims
1,200
Beneficiaries
6
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGADDIPATI, NAYAKI (OWNER)
NPI Enumeration Date10/28/2019

Related Entities

Other providers sharing the same authorized official: GADDIPATI, NAYAKI

ProviderCityStateTotal Paid
ACER DENTAL LLC NEW BRITAIN CT $1.32M
HOLYOKE FAMILY DENTISTRY PC HOLYOKE MA $943K
MERRIMACK VALLEY DENTAL CARE PC DRACUT MA $69K
ADVANCE DENTAL UNIONVILLE PC UNIONVILLE CT $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 42 $1K
2021 119 $4K
2022 135 $5K
2023 334 $12K
2024 641 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 592 556 $24K
D1208 Topical application of fluoride, excluding varnish 357 338 $9K
D0120 Periodic oral evaluation - established patient 225 218 $7K
D0150 Comprehensive oral evaluation - new or established patient 36 31 $2K
D0330 Panoramic radiographic image 30 26 $2K
D0274 Bitewings - four radiographic images 31 31 $1K