ALTWAL AND SHELAT DDS INC
NPI: 1205443116
· MODESTO, CA 95355
· 122300000X
$2.24M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
2,424 |
$102K |
| 2022 |
5,712 |
$285K |
| 2023 |
9,554 |
$742K |
| 2024 |
12,518 |
$1.11M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2740 |
|
1,659 |
1,155 |
$786K |
| D3330 |
|
617 |
543 |
$279K |
| D0150 |
|
2,444 |
2,436 |
$158K |
| D0210 |
|
3,031 |
3,026 |
$143K |
| D1110 |
|
1,566 |
1,561 |
$135K |
| D0120 |
|
1,281 |
1,271 |
$99K |
| D2954 |
|
913 |
714 |
$95K |
| D1351 |
|
2,658 |
541 |
$93K |
| D3320 |
|
236 |
201 |
$86K |
| D1120 |
|
1,554 |
1,542 |
$75K |
| D9430 |
|
1,793 |
1,779 |
$57K |
| D7210 |
|
442 |
266 |
$52K |
| D1208 |
|
2,796 |
2,781 |
$38K |
| D2391 |
|
642 |
433 |
$34K |
| D2392 |
|
410 |
307 |
$27K |
| D0274 |
|
1,207 |
1,193 |
$26K |
| D0230 |
|
4,754 |
1,626 |
$19K |
| D0220 |
|
826 |
815 |
$10K |
| D0350 |
|
999 |
640 |
$10K |
| D3310 |
|
25 |
16 |
$7K |
| D4341 |
|
72 |
25 |
$5K |
| D1206 |
|
232 |
232 |
$4K |
| D7140 |
|
25 |
12 |
$1K |
| D0330 |
|
26 |
26 |
$780.00 |