Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › DANVERS › HALLMARK DENATL LLC

HALLMARK DENATL LLC

NPI: 1609390095 · DANVERS, MA 01923 · Dental Clinic/Center · NPI assigned 07/27/2017

$64K
Total Medicaid Paid
1,553
Total Claims
1,518
Beneficiaries
8
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKROTHAPALLI, NANARAO (DENTIST)
NPI Enumeration Date07/27/2017

Related Entities

Other providers sharing the same authorized official: KROTHAPALLI, NANARAO

ProviderCityStateTotal Paid
KROTHAPALLI DENTAL GROUP COLUMBUS LLC COLUMBUS OH $165K
KROTHAPALLI DENTAL GROUP WESTERVILLE LLC WESTERVILLE OH $100K
KROTHAPALLI DENTAL GROUP GRANVILLE LLC GRANVILLE OH $88K
KROTHAPALLI FAMILY DENTAL LLC NASHUA NH $87K
TRI-TOWN FAMILY DENTAL LLC ALLENSTOWN NH $61K
LYNNWOOD FAMILY DENTAL LYNNFIELD MA $31K
KROTHAPALLI DENTAL GROUP GAHANNA LLC GAHANNA OH $27K
KROTHAPALLI DENTAL GROUP POWELL LLC POWELL OH $16K
LAMPREY FAMILY DENTAL LLC RAYMOND NH $848.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $1K
2021 110 $5K
2022 229 $10K
2023 637 $25K
2024 551 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 716 705 $39K
D0150 Comprehensive oral evaluation - new or established patient 192 189 $8K
D0120 Periodic oral evaluation - established patient 248 247 $6K
D0210 Intraoral - complete series of radiographic images 54 53 $4K
D0220 Intraoral - periapical first radiographic image 237 222 $3K
D0140 Limited oral evaluation - problem focused 79 77 $3K
D0274 Bitewings - four radiographic images 13 12 $472.00
D0230 Intraoral - periapical each additional radiographic image 14 13 $182.00