Medicaid Provider Spending

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

CREST FAMILY DENTAL, LLC

NPI: 1699185264 · HARTFORD, CT 06106 · General Practice Dentistry · NPI assigned 05/05/2014

$74K
Total Medicaid Paid
1,378
Total Claims
912
Beneficiaries
5
Codes Billed
2023-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHIVAREDDY, SHYAM (MANAGER)
NPI Enumeration Date05/05/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 796 $34K
2024 582 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 566 233 $48K
D0140 Limited oral evaluation - problem focused 440 425 $13K
D0330 Panoramic radiographic image 289 216 $8K
D7230 69 26 $4K
D9310 14 12 $243.10