Medicaid Provider Spending

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

SHETTY, SUDHAKAR

NPI: 1861663569 · WOODHAVEN, NY 11421 · General Practice Dentistry · NPI assigned 03/20/2008

$2K
Total Medicaid Paid
111
Total Claims
107
Beneficiaries
6
Codes Billed
2022-03
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 70 $1K
2023 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 40 39 $1K
D0210 Intraoral - complete series of radiographic images 13 12 $347.39
D0120 Periodic oral evaluation - established patient 13 13 $245.00
D0230 Intraoral - periapical each additional radiographic image 16 15 $219.00
D0274 Bitewings - four radiographic images 13 13 $112.00
D0220 Intraoral - periapical first radiographic image 16 15 $98.00