Medicaid Provider Spending

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

WHITE MOUNTAIN DENTAL ASSOCIATES

NPI: 1912368978 · NORTH CONWAY, NH 03860 · Dentist · NPI assigned 03/17/2016

$3K
Total Medicaid Paid
138
Total Claims
134
Beneficiaries
2
Codes Billed
2018-02
First Month
2019-11
Last Month

Provider Details

Authorized OfficialGULATI, HARISH (OWNER)
NPI Enumeration Date03/17/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 95 $2K
2019 43 $852.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 99 95 $2K
D0120 Periodic oral evaluation - established patient 39 39 $1K