ANJANA GUPTA, DDS, PLLC
NPI: 1386144053
· SAINT JOSEPH, MI 49085
· Dentist
· NPI assigned 02/19/2018
$758.00
Total Medicaid Paid
Provider Details
| Authorized Official | GUPTA, ANJANA (DENTIST/OWNER) |
| NPI Enumeration Date | 02/19/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$533.00 |
| 2022 |
12 |
$225.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$450.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$308.00 |