Medicaid Provider Spending

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

PRAVEEN PAVULURU, DMD, LLC

NPI: 1962133454 · BANGOR, ME 04401 · 261QD0000X

$101K

Total Medicaid Paid

1,587

Total Claims

1,576

Beneficiaries

8

Codes Billed

2022-07

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	343	$20K
2023	635	$44K
2024	609	$37K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		332	332	$23K
D0120		592	592	$20K
D4910		190	190	$19K
D0210		187	187	$18K
D4355		85	85	$9K
D0274		165	165	$8K
D2391		21	13	$2K
D2392		15	12	$2K