Medicaid Provider Spending

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

MERRITT DENTAL CARE LLC

NPI: 1407115801 · NORWALK, CT 06851 · General Practice Dentistry · NPI assigned 05/07/2012

$2K
Total Medicaid Paid
64
Total Claims
63
Beneficiaries
2
Codes Billed
2018-05
First Month
2019-08
Last Month

Provider Details

Authorized OfficialRAVURI, PRASANNA (OWNER)
NPI Enumeration Date05/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $345.10
2019 51 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 52 51 $1K
D1110 Prophylaxis - adult 12 12 $266.24