Medicaid Provider Spending

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

TRI-TOWN FAMILY DENTAL LLC

NPI: 1770893406 · ALLENSTOWN, NH 03275 · General Practice Dentistry · NPI assigned 10/15/2010

$61K
Total Medicaid Paid
1,973
Total Claims
1,873
Beneficiaries
9
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKROTHAPALLI, NANARAO (PRESIDENT)
NPI Enumeration Date10/15/2010

Related Entities

Other providers sharing the same authorized official: KROTHAPALLI, NANARAO

ProviderCityStateTotal Paid
KROTHAPALLI DENTAL GROUP COLUMBUS LLC COLUMBUS OH $165K
KROTHAPALLI DENTAL GROUP WESTERVILLE LLC WESTERVILLE OH $100K
KROTHAPALLI DENTAL GROUP GRANVILLE LLC GRANVILLE OH $88K
KROTHAPALLI FAMILY DENTAL LLC NASHUA NH $87K
HALLMARK DENATL LLC DANVERS MA $64K
LYNNWOOD FAMILY DENTAL LYNNFIELD MA $31K
KROTHAPALLI DENTAL GROUP GAHANNA LLC GAHANNA OH $27K
KROTHAPALLI DENTAL GROUP POWELL LLC POWELL OH $16K
LAMPREY FAMILY DENTAL LLC RAYMOND NH $848.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 229 $6K
2019 163 $5K
2020 305 $8K
2021 320 $9K
2022 226 $7K
2023 161 $5K
2024 569 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 558 536 $17K
D1120 Prophylaxis - child 384 368 $14K
D1208 Topical application of fluoride, excluding varnish 579 548 $10K
D1110 Prophylaxis - adult 139 129 $7K
D0150 Comprehensive oral evaluation - new or established patient 110 105 $6K
D0274 Bitewings - four radiographic images 84 82 $3K
D0330 Panoramic radiographic image 58 56 $2K
D0140 Limited oral evaluation - problem focused 36 25 $1K
D0220 Intraoral - periapical first radiographic image 25 24 $173.76