Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WESTFIELD › PARK SQUARE DENTAL PC

PARK SQUARE DENTAL PC

NPI: 1740636828 · WESTFIELD, MA 01085 · General Practice Dentistry · NPI assigned 05/09/2016

$27K
Total Medicaid Paid
725
Total Claims
708
Beneficiaries
5
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDONTHI REDDY, SUSHMA REDDY (PRESIDENT)
NPI Enumeration Date05/09/2016

Related Entities

Other providers sharing the same authorized official: DONTHI REDDY, SUSHMA REDDY

ProviderCityStateTotal Paid
IVORY DENTAL PC SOUTHBRIDGE MA $140K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $783.00
2019 54 $2K
2020 61 $2K
2021 65 $3K
2022 116 $5K
2023 213 $8K
2024 189 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 254 247 $14K
D0120 Periodic oral evaluation - established patient 364 355 $9K
D1208 Topical application of fluoride, excluding varnish 68 67 $2K
D1120 Prophylaxis - child 26 26 $1K
D0274 Bitewings - four radiographic images 13 13 $488.00