Medicaid Provider Spending

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

AJS DENTAL LLC

NPI: 1205400470 · MARLTON, NJ 08053 · Dental Clinic/Center · NPI assigned 05/13/2021

$2K
Total Medicaid Paid
161
Total Claims
159
Beneficiaries
5
Codes Billed
2021-07
First Month
2022-01
Last Month

Provider Details

Authorized OfficialPAKANATI, SWETHA (DENTIST/OWNER)
NPI Enumeration Date05/13/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 77 $2K
2022 84 $643.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 47 47 $1K
D0120 Periodic oral evaluation - established patient 48 48 $800.00
D0220 Intraoral - periapical first radiographic image 36 35 $80.00
D0274 Bitewings - four radiographic images 13 13 $72.00
D0230 Intraoral - periapical each additional radiographic image 17 16 $21.00