Medicaid Provider Spending

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

BASAWARAJ, SUJATA

NPI: 1245488600 · LEWISVILLE, TX 75056 · General Practice Dentistry · NPI assigned 08/28/2008

$6K
Total Medicaid Paid
405
Total Claims
344
Beneficiaries
9
Codes Billed
2020-12
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 27 $566.15
2021 84 $1K
2022 241 $4K
2023 26 $0.00
2024 27 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 51 50 $1K
D0230 Intraoral - periapical each additional radiographic image 103 51 $1K
D1208 Topical application of fluoride, excluding varnish 76 76 $1K
D0220 Intraoral - periapical first radiographic image 66 63 $766.16
D1120 Prophylaxis - child 14 14 $514.50
D0150 Comprehensive oral evaluation - new or established patient 14 14 $494.48
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12 12 $298.21
D0603 53 50 $0.00
D0602 16 14 $0.00