Medicaid Provider Spending

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

HUDSON DENTAL CENTER

NPI: 1396146825 · WEST NEW YORK, NJ 07093 · General Practice Dentistry · NPI assigned 09/16/2014

$3K
Total Medicaid Paid
460
Total Claims
392
Beneficiaries
6
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSWARUP, NATURE (OWNER)
NPI Enumeration Date09/16/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 286 $2K
2024 174 $654.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 59 59 $885.00
D1110 Prophylaxis - adult 53 39 $679.00
D0274 Bitewings - four radiographic images 77 66 $596.00
D0220 Intraoral - periapical first radiographic image 136 117 $441.00
D0230 Intraoral - periapical each additional radiographic image 111 98 $281.25
D1208 Topical application of fluoride, excluding varnish 24 13 $93.50