Medicaid Provider Spending

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

SUNNY SMILES FAMILY DENTISTRY

NPI: 1902402555 · BERKELEY SPRINGS, WV 25411 · Dental Clinic/Center · NPI assigned 12/09/2020

$7K
Total Medicaid Paid
235
Total Claims
233
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMAHAVADI, SRICHARAN (DENTIST)
NPI Enumeration Date12/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 235 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 85 85 $2K
D1120 Prophylaxis - child 52 51 $2K
D1208 Topical application of fluoride, excluding varnish 86 85 $2K
D1110 Prophylaxis - adult 12 12 $605.00