Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN RAMON › HARITHA TIRUPATHI,DDS, A PROFESSIONAL DENTAL CORPORATION

HARITHA TIRUPATHI,DDS, A PROFESSIONAL DENTAL CORPORATION

NPI: 1891977708 · SAN RAMON, CA 94583 · Clinic/Center · NPI assigned 12/03/2007

$15K
Total Medicaid Paid
508
Total Claims
358
Beneficiaries
4
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTIRUPATHI, HARITHA (OWNER)
NPI Enumeration Date12/03/2007

Related Entities

Other providers sharing the same authorized official: TIRUPATHI, HARITHA

ProviderCityStateTotal Paid
TIRUPATHI DDS INC CASTRO VALLEY CA $202K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 219 $7K
2023 252 $7K
2024 37 $518.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 101 94 $9K
D1208 Topical application of fluoride, excluding varnish 203 197 $3K
D0150 Comprehensive oral evaluation - new or established patient 30 26 $2K
D0230 Intraoral - periapical each additional radiographic image 174 41 $729.00