Medicaid Provider Spending

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

MADISON FAMILY DENTAL, LLC

NPI: 1720325335 · MADISON, TN 37115 · General Practice Dentistry · NPI assigned 01/16/2013

$73K
Total Medicaid Paid
2,519
Total Claims
2,421
Beneficiaries
9
Codes Billed
2018-02
First Month
2022-08
Last Month

Provider Details

Authorized OfficialKSHATRI, RAJAN (OWNER)
NPI Enumeration Date01/16/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 379 $10K
2019 580 $17K
2020 654 $21K
2021 491 $14K
2022 415 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 471 461 $20K
D1206 Topical application of fluoride varnish 835 818 $17K
D0274 Bitewings - four radiographic images 416 404 $11K
D0120 Periodic oral evaluation - established patient 398 390 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 72 30 $5K
D1120 Prophylaxis - child 114 110 $4K
D0150 Comprehensive oral evaluation - new or established patient 104 101 $3K
D0330 Panoramic radiographic image 72 70 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 37 37 $1K