MAHA FAMILY DENTAL PC
NPI: 1770969958
· WEST BROOKFIELD, MA 01585
· Dentist
· NPI assigned 08/10/2015
$182K
Total Medicaid Paid
Provider Details
| Authorized Official | GARRE, HARISH (DENTIST) |
| NPI Enumeration Date | 08/10/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
876 |
$32K |
| 2019 |
979 |
$36K |
| 2020 |
548 |
$18K |
| 2021 |
616 |
$21K |
| 2022 |
692 |
$27K |
| 2023 |
762 |
$30K |
| 2024 |
447 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,324 |
1,299 |
$75K |
| D0120 |
Periodic oral evaluation - established patient |
2,026 |
1,986 |
$51K |
| D1208 |
Topical application of fluoride, excluding varnish |
823 |
812 |
$23K |
| D1120 |
Prophylaxis - child |
460 |
454 |
$22K |
| D0274 |
Bitewings - four radiographic images |
237 |
237 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$656.00 |
| D1999 |
|
38 |
37 |
$0.00 |