Medicaid Provider Spending

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

RAJURKAR DENTISTRY INCORPORATED

NPI: 1467907873 · FONTANA, CA 92336 · Dental Clinic/Center · NPI assigned 08/16/2016

$35K
Total Medicaid Paid
1,171
Total Claims
862
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialRAJURKAR, SEJAL (CEO/OWNER)
NPI Enumeration Date08/16/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,171 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 196 196 $10K
D2140 169 58 $9K
D0210 Intraoral - complete series of radiographic images 164 164 $7K
D1110 Prophylaxis - adult 57 57 $4K
D1208 Topical application of fluoride, excluding varnish 236 236 $2K
D1120 Prophylaxis - child 59 59 $2K
D0230 Intraoral - periapical each additional radiographic image 277 80 $894.45
D9430 13 12 $416.00