GOWDARA SRINIVASA REDDY, SHANTHALA
NPI: 1902447899
· AUBREY, TX 76227
· General Practice Dentistry
· NPI assigned 10/02/2019
$575.86
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$174.93 |
| 2023 |
48 |
$400.93 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$335.16 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$125.60 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$115.10 |
| D0603 |
|
24 |
24 |
$0.00 |