Medicaid Provider Spending

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

SWAPNA RAVEENDRANATH DENTAL CORPORATION

NPI: 1740648674 · FREMONT, CA 94538 · Health Maintenance Organization · NPI assigned 02/06/2016

$14K
Total Medicaid Paid
492
Total Claims
448
Beneficiaries
6
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAVEENDRANATH, SWAPNA (CEO)
NPI Enumeration Date02/06/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $767.00
2021 84 $3K
2022 29 $440.50
2023 241 $7K
2024 126 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 51 49 $4K
D0150 Comprehensive oral evaluation - new or established patient 58 57 $4K
D1208 Topical application of fluoride, excluding varnish 234 231 $3K
D0210 Intraoral - complete series of radiographic images 31 31 $1K
D0274 Bitewings - four radiographic images 25 25 $496.80
D0230 Intraoral - periapical each additional radiographic image 93 55 $368.55