Medicaid Provider Spending

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

RIVER AVE DENTAL PLLC

NPI: 1740963826 · SEEKONK, MA 02771 · General Practice Dentistry · NPI assigned 08/07/2023

$14K
Total Medicaid Paid
361
Total Claims
347
Beneficiaries
7
Codes Billed
2024-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKUMARASWAMY, SHARANYA (MEMBER)
NPI Enumeration Date08/07/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 361 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 109 107 $6K
D0150 Comprehensive oral evaluation - new or established patient 66 61 $3K
D0274 Bitewings - four radiographic images 50 49 $2K
D0220 Intraoral - periapical first radiographic image 61 58 $984.00
D0230 Intraoral - periapical each additional radiographic image 44 41 $652.00
D0120 Periodic oral evaluation - established patient 18 18 $530.00
D1208 Topical application of fluoride, excluding varnish 13 13 $403.00