MADHUKAR R MEDIPALLY, DMD, PC
NPI: 1447898184
· LUDLOW, MA 01056
· Dental Clinic/Center
· NPI assigned 12/12/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
254 |
$9K |
| 2022 |
638 |
$17K |
| 2023 |
606 |
$24K |
| 2024 |
508 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |