GOVINDARAJAN, RUPA
NPI: 1245510106
· ROUND ROCK, TX 78664
· General Practice Dentistry
· NPI assigned 08/24/2011
$627.43
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
107 |
$627.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
40 |
19 |
$287.75 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$176.40 |
| D0220 |
Intraoral - periapical first radiographic image |
21 |
19 |
$163.28 |
| D0602 |
|
19 |
18 |
$0.00 |
| D0350 |
|
12 |
12 |
$0.00 |