Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › DC › WASHINGTON › PRESIDENTIAL PEDIATRIC DENTISTRY AND ORTHODONTICS LLC

PRESIDENTIAL PEDIATRIC DENTISTRY AND ORTHODONTICS LLC

NPI: 1326597113 · WASHINGTON, DC 20019 · Pediatric Dentist · NPI assigned 09/22/2016

$896.95
Total Medicaid Paid
28
Total Claims
26
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-03
Last Month

Provider Details

Authorized OfficialAGARWAL, GAURAV (OWNER)
NPI Enumeration Date09/22/2016

Related Entities

Other providers sharing the same authorized official: AGARWAL, GAURAV

ProviderCityStateTotal Paid
GAURAV AGARWAL DDS, MSD, PLLC WINCHESTER VA $8.83M
SURAGA LLC WINCHESTER VA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $896.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13 12 $519.19
D1206 Topical application of fluoride varnish 15 14 $377.76