Medicaid Provider Spending

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

WESTBOROUGH DENTISTREE

NPI: 1730655929 · WESTBOROUGH, MA 01581 · Dental Clinic/Center · NPI assigned 10/16/2018

$34K
Total Medicaid Paid
1,299
Total Claims
1,267
Beneficiaries
7
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMULAY, RAJSHREE (DENTIST/OWNER)
NPI Enumeration Date10/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $430.00
2020 125 $1K
2021 181 $4K
2022 250 $8K
2023 409 $12K
2024 304 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 246 245 $14K
D0274 Bitewings - four radiographic images 174 174 $7K
D0220 Intraoral - periapical first radiographic image 356 350 $6K
D0120 Periodic oral evaluation - established patient 167 167 $4K
D0230 Intraoral - periapical each additional radiographic image 255 245 $4K
D1206 Topical application of fluoride varnish 12 12 $336.00
D1999 89 74 $0.00