Medicaid Provider Spending

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

NORTHEASTERN DENTISTRY @ CLIFTON HEIGHTS

NPI: 1881947505 · CLIFTON HEIGHTS, PA 19018 · Dentist · NPI assigned 10/18/2012

$10K
Total Medicaid Paid
650
Total Claims
634
Beneficiaries
6
Codes Billed
2024-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHADHALAVADA, KAVITHA (OWNER DENTIST)
NPI Enumeration Date10/18/2012

Related Entities

Other providers sharing the same authorized official: CHADHALAVADA, KAVITHA

ProviderCityStateTotal Paid
NORTHEASTERN DENTISTRY @ OVERBROOK PHILADELPHIA PA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 650 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 149 145 $4K
D1110 Prophylaxis - adult 102 101 $3K
D0150 Comprehensive oral evaluation - new or established patient 63 63 $1K
D0220 Intraoral - periapical first radiographic image 158 151 $1K
D0230 Intraoral - periapical each additional radiographic image 148 144 $1K
D0120 Periodic oral evaluation - established patient 30 30 $533.60