Medicaid Provider Spending

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

MADHUKAR R MEDIPALLY, DMD, PC

NPI: 1447898184 · LUDLOW, MA 01056 · Dental Clinic/Center · NPI assigned 12/12/2019

$72K
Total Medicaid Paid
2,006
Total Claims
1,740
Beneficiaries
8
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEDIPALLY, MADHUKAR (PRESIDENT)
NPI Enumeration Date12/12/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 254 $9K
2022 638 $17K
2023 606 $24K
2024 508 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 952 834 $45K
D0120 Periodic oral evaluation - established patient 789 694 $16K
D0274 Bitewings - four radiographic images 137 94 $4K
D0150 Comprehensive oral evaluation - new or established patient 52 52 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 24 14 $2K
D0210 Intraoral - complete series of radiographic images 25 25 $2K
D1120 Prophylaxis - child 14 14 $770.00
D1208 Topical application of fluoride, excluding varnish 13 13 $403.00