Medicaid Provider Spending

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

DENTAL QUEST INC

NPI: 1871732123 · LOWELL, MA 01854 · Dentist · NPI assigned 02/10/2009

$16K
Total Medicaid Paid
564
Total Claims
523
Beneficiaries
8
Codes Billed
2019-04
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPOLAVARAPU, MAMATHA (DOCTOR)
NPI Enumeration Date02/10/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 162 $4K
2020 72 $2K
2021 16 $0.00
2022 138 $4K
2023 102 $4K
2024 74 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 115 112 $6K
D0120 Periodic oral evaluation - established patient 163 157 $4K
D0274 Bitewings - four radiographic images 54 52 $2K
D0220 Intraoral - periapical first radiographic image 95 93 $1K
D0140 Limited oral evaluation - problem focused 27 26 $1K
D0230 Intraoral - periapical each additional radiographic image 67 43 $788.00
D1208 Topical application of fluoride, excluding varnish 14 13 $348.00
D1999 29 27 $0.00