GURJOT SIDHU DDS DENTAL CORPORATION
NPI: 1942783782
· RIVERBANK, CA 95367
· General Practice Dentistry
· NPI assigned 09/07/2018
$635K
Total Medicaid Paid
Provider Details
| Authorized Official | SIDHU, GURJOT (PRESIDENT) |
| Parent Organization | GURJOT SIDHU DDS DENTAL CORPORATION |
| NPI Enumeration Date | 09/07/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,334 |
$70K |
| 2022 |
1,099 |
$58K |
| 2023 |
1,065 |
$51K |
| 2024 |
9,332 |
$456K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,629 |
2,627 |
$172K |
| D1110 |
Prophylaxis - adult |
1,822 |
1,821 |
$159K |
| D4355 |
|
1,008 |
1,006 |
$100K |
| D9410 |
|
2,878 |
2,647 |
$80K |
| D0210 |
Intraoral - complete series of radiographic images |
1,062 |
1,060 |
$51K |
| D1206 |
Topical application of fluoride varnish |
1,323 |
1,321 |
$23K |
| D5410 |
|
399 |
376 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
949 |
948 |
$14K |
| D5411 |
|
248 |
229 |
$9K |
| D9920 |
|
36 |
36 |
$5K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$2K |
| D9430 |
|
55 |
55 |
$2K |
| D5422 |
|
43 |
40 |
$2K |
| D5421 |
|
31 |
29 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
72 |
$864.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
236 |
32 |
$777.60 |