Medicaid Provider Spending

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

DHARIWALA, UMMESALMA

NPI: 1689938565 · NORTHBOROUGH, MA 01532 · General Practice Dentistry · NPI assigned 06/26/2012

$4K
Total Medicaid Paid
233
Total Claims
193
Beneficiaries
5
Codes Billed
2019-10
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $555.80
2022 12 $158.00
2023 78 $960.00
2024 113 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 38 38 $1K
D1206 Topical application of fluoride varnish 44 41 $1K
D1110 Prophylaxis - adult 30 25 $555.80
D0220 Intraoral - periapical first radiographic image 72 64 $362.00
D0230 Intraoral - periapical each additional radiographic image 49 25 $162.00