GUPTA DENTAL CORPORATION
NPI: 1689097107
· FONTANA, CA 92337
· Dentist
· NPI assigned 02/04/2014
$158K
Total Medicaid Paid
Provider Details
| Authorized Official | GUPTA, JUGAL (OWNER) |
| NPI Enumeration Date | 02/04/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,468 |
$38K |
| 2019 |
1,057 |
$28K |
| 2020 |
364 |
$8K |
| 2021 |
487 |
$12K |
| 2022 |
539 |
$16K |
| 2023 |
900 |
$25K |
| 2024 |
2,025 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
955 |
955 |
$58K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,521 |
1,858 |
$36K |
| D0272 |
Bitewings - two radiographic images |
1,266 |
1,263 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
319 |
319 |
$14K |
| D0210 |
Intraoral - complete series of radiographic images |
246 |
245 |
$11K |
| D1120 |
Prophylaxis - child |
351 |
349 |
$10K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
16 |
12 |
$8K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
42 |
24 |
$3K |
| D9430 |
|
55 |
54 |
$2K |
| D2140 |
|
17 |
12 |
$873.60 |
| D0270 |
|
12 |
12 |
$60.00 |