KIGURADZE, KETEVAN
NPI: 1588803407
· DARIEN, CT 06820
· Dentist
· NPI assigned 02/17/2009
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
673 |
$24K |
| 2019 |
457 |
$16K |
| 2020 |
568 |
$20K |
| 2021 |
712 |
$25K |
| 2022 |
442 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,023 |
1,009 |
$45K |
| D0120 |
Periodic oral evaluation - established patient |
848 |
836 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
967 |
954 |
$27K |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$439.04 |