TIRUPATHI DDS INC
NPI: 1831776244
· CASTRO VALLEY, CA 94546
· Dental Clinic/Center
· NPI assigned 03/24/2021
$202K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: TIRUPATHI, HARITHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
443 |
$23K |
| 2023 |
1,311 |
$61K |
| 2024 |
2,230 |
$118K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2751 |
Crown - porcelain fused to predominantly base metal |
106 |
58 |
$50K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
697 |
696 |
$46K |
| D1110 |
Prophylaxis - adult |
469 |
468 |
$42K |
| D0210 |
Intraoral - complete series of radiographic images |
505 |
505 |
$24K |
| D1206 |
Topical application of fluoride varnish |
749 |
748 |
$13K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
16 |
12 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
89 |
89 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,082 |
294 |
$4K |
| D1120 |
Prophylaxis - child |
80 |
79 |
$4K |
| D0274 |
Bitewings - four radiographic images |
191 |
191 |
$4K |