Medicaid Provider Spending

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

SURAGA LLC

NPI: 1417340381 · WINCHESTER, VA 22601 · Dentist · NPI assigned 03/16/2015

$1K
Total Medicaid Paid
54
Total Claims
54
Beneficiaries
2
Codes Billed
2018-05
First Month
2018-11
Last Month

Provider Details

Authorized OfficialAGARWAL, GAURAV (MEMBER)
NPI Enumeration Date03/16/2015

Related Entities

Other providers sharing the same authorized official: AGARWAL, GAURAV

ProviderCityStateTotal Paid
GAURAV AGARWAL DDS, MSD, PLLC WINCHESTER VA $8.83M
PRESIDENTIAL PEDIATRIC DENTISTRY AND ORTHODONTICS LLC WASHINGTON DC $896.95

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 27 27 $845.37
D0220 Intraoral - periapical first radiographic image 27 27 $301.86