SANDIP DESAI DDS INC.
NPI: 1891819397
· MORENO VALLEY, CA 92553
· Dentist
· NPI assigned 03/19/2007
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | DESAI, SANDIP (PRESIDENT) |
| NPI Enumeration Date | 03/19/2007 |
Related Entities
Other providers sharing the same authorized official: DESAI, SANDIP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,523 |
$18K |
| 2019 |
1,006 |
$13K |
| 2020 |
1,206 |
$13K |
| 2021 |
1,401 |
$16K |
| 2022 |
1,313 |
$18K |
| 2023 |
1,463 |
$23K |
| 2024 |
1,293 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
700 |
692 |
$35K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,175 |
1,440 |
$28K |
| D1120 |
Prophylaxis - child |
584 |
575 |
$21K |
| D0274 |
Bitewings - four radiographic images |
628 |
627 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
145 |
142 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
579 |
569 |
$6K |
| D2140 |
|
83 |
37 |
$4K |
| D0272 |
Bitewings - two radiographic images |
191 |
184 |
$2K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
105 |
104 |
$1K |