SURI, AJAY
NPI: 1437185766
· LITTLE ROCK, AR 72223
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/26/2006
$1.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,325 |
$258K |
| 2019 |
4,379 |
$547K |
| 2020 |
1,834 |
$245K |
| 2024 |
12 |
$410.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
5,960 |
2,186 |
$628K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
359 |
336 |
$352K |
| D0140 |
Limited oral evaluation - problem focused |
1,112 |
965 |
$36K |
| D8999 |
|
12 |
12 |
$21K |
| D8030 |
|
32 |
12 |
$11K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$752.40 |
| D0470 |
|
62 |
62 |
$285.00 |