Medicaid Provider Spending

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

NINE TREASURES PLLC

NPI: 1710534888 · CENTENNIAL, CO 80122 · Dental Clinic/Center · NPI assigned 08/22/2019

$3K
Total Medicaid Paid
88
Total Claims
88
Beneficiaries
5
Codes Billed
2022-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSURI, ANUJ (OWNER)
NPI Enumeration Date08/22/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $503.64
2023 38 $2K
2024 38 $955.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 38 38 $2K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $487.32
D0120 Periodic oral evaluation - established patient 12 12 $460.20
D0230 Intraoral - periapical each additional radiographic image 13 13 $321.42
D0220 Intraoral - periapical first radiographic image 13 13 $173.92