Medicaid Provider Spending

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

NU SMILE DENTAL PA

NPI: 1285711515 · RAMSEY, NJ 07446 · Dentist · NPI assigned 11/01/2006

$9K
Total Medicaid Paid
1,282
Total Claims
1,243
Beneficiaries
6
Codes Billed
2018-05
First Month
2024-02
Last Month

Provider Details

Authorized OfficialKIANFAR, RAMESH (PRESIDENT)
NPI Enumeration Date11/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $1K
2021 105 $830.75
2022 477 $3K
2023 596 $4K
2024 36 $308.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 289 286 $3K
D1110 Prophylaxis - adult 268 262 $3K
D0274 Bitewings - four radiographic images 290 288 $1K
D0220 Intraoral - periapical first radiographic image 361 333 $795.00
D0120 Periodic oral evaluation - established patient 31 31 $375.00
D0603 43 43 $50.00