Medicaid Provider Spending

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

DR.SUJATHA LAKSHMI REVUR,DMD,P.C.

NPI: 1932384724 · MARLBOROUGH, MA 01752 · General Practice Dentistry · NPI assigned 12/31/2007

$2K
Total Medicaid Paid
53
Total Claims
53
Beneficiaries
2
Codes Billed
2020-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialREVUR, SUJATHA (FAMILY DENTIST)
NPI Enumeration Date12/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 27 $1K
2022 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 26 26 $1K
D0120 Periodic oral evaluation - established patient 27 27 $630.00