Medicaid Provider Spending

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

NORTH DALLAS PEDIATRICS ASSOCIATES PC

NPI: 1417557547 · GARLAND, TX 75043 · Pediatrics Physician · NPI assigned 10/28/2020

$2K
Total Medicaid Paid
88
Total Claims
70
Beneficiaries
4
Codes Billed
2022-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialBODAVULA, VENKATA (OWNER)
NPI Enumeration Date10/28/2020

Related Entities

Other providers sharing the same authorized official: BODAVULA, VENKATA

ProviderCityStateTotal Paid
BODAVULA MD LLC CREVE COEUR MO $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 88 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 24 14 $768.91
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 13 $526.21
90460 Immunization administration through 18 years of age via any route, first or only component 30 30 $227.36
94760 19 13 $3.92