GOWDA PROFESSIONAL DENTAL INC
NPI: 1356567317
· LAKE ELSINORE, CA 92530
· Dentist
· NPI assigned 04/18/2007
$544K
Total Medicaid Paid
Provider Details
| Authorized Official | GOWDA, ROOPA (PRESIDENT) |
| NPI Enumeration Date | 04/18/2007 |
Related Entities
Other providers sharing the same authorized official: GOWDA, ROOPA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,118 |
$112K |
| 2019 |
6,812 |
$126K |
| 2020 |
2,917 |
$39K |
| 2021 |
3,589 |
$45K |
| 2022 |
3,887 |
$64K |
| 2023 |
4,246 |
$69K |
| 2024 |
4,678 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
19,787 |
3,595 |
$82K |
| D0120 |
Periodic oral evaluation - established patient |
1,522 |
1,517 |
$80K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,123 |
1,119 |
$69K |
| D1120 |
Prophylaxis - child |
1,721 |
1,713 |
$64K |
| D9430 |
|
1,472 |
1,435 |
$47K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
626 |
237 |
$42K |
| D0210 |
Intraoral - complete series of radiographic images |
714 |
714 |
$33K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,512 |
2,497 |
$30K |
| D0272 |
Bitewings - two radiographic images |
2,061 |
2,050 |
$24K |
| D1110 |
Prophylaxis - adult |
245 |
243 |
$19K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
28 |
12 |
$13K |
| D4341 |
|
218 |
57 |
$13K |
| D2160 |
|
161 |
87 |
$13K |
| D0350 |
|
832 |
311 |
$8K |
| D2140 |
|
87 |
40 |
$5K |
| D4910 |
|
28 |
28 |
$2K |
| D1351 |
Sealant - per tooth |
82 |
26 |
$2K |
| D1330 |
|
28 |
28 |
$0.00 |