TELADENTIST PC INC
NPI: 1689101750
· LAS VEGAS, NV 89118
· Dental Clinic/Center
· NPI assigned 05/19/2017
$1.20M
Total Medicaid Paid
Provider Details
| Authorized Official | SASTRY, VILAS (OWNER) |
| NPI Enumeration Date | 05/19/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
31 |
$764.52 |
| 2019 |
405 |
$8K |
| 2020 |
1,728 |
$69K |
| 2021 |
1,585 |
$61K |
| 2022 |
4,242 |
$177K |
| 2023 |
5,629 |
$196K |
| 2024 |
36,215 |
$689K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9430 |
|
15,962 |
15,957 |
$558K |
| D0140 |
Limited oral evaluation - problem focused |
10,281 |
9,180 |
$382K |
| D9995 |
|
7,575 |
6,887 |
$251K |
| D0191 |
|
89 |
89 |
$9K |
| D0350 |
|
85 |
40 |
$62.50 |
| D1206 |
Topical application of fluoride varnish |
42 |
39 |
$0.00 |
| D9996 |
|
15,801 |
15,797 |
$0.00 |