GUPTA, RADHESHYAM
NPI: 1871606558
· LIVERPOOL, NY 13090
· Dentist
· NPI assigned 08/16/2006
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
414 |
$16K |
| 2019 |
545 |
$19K |
| 2020 |
743 |
$22K |
| 2021 |
619 |
$21K |
| 2022 |
457 |
$17K |
| 2023 |
389 |
$15K |
| 2024 |
267 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,227 |
1,227 |
$66K |
| D0120 |
Periodic oral evaluation - established patient |
1,501 |
1,501 |
$40K |
| D0274 |
Bitewings - four radiographic images |
268 |
268 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
312 |
312 |
$4K |
| D1120 |
Prophylaxis - child |
51 |
51 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$341.20 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$226.20 |
| D1999 |
|
50 |
48 |
$0.00 |