Medicaid Provider Spending

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

DADURIAN DENTAL CARE P.C.

NPI: 1710129994 · PARAMUS, NJ 07652 · Pediatric Dentist · NPI assigned 04/02/2009

$6K
Total Medicaid Paid
569
Total Claims
556
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialDADURIAN, MEDINA (OWNER/PRESIDENT)
NPI Enumeration Date04/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $2K
2019 68 $943.00
2020 35 $255.00
2021 94 $690.00
2022 118 $1K
2023 67 $253.00
2024 28 $260.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 229 228 $3K
D1120 Prophylaxis - child 48 48 $672.00
D1208 Topical application of fluoride, excluding varnish 64 64 $640.00
D1110 Prophylaxis - adult 31 31 $527.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $253.00
D1999 185 173 $0.00