PRUDENT DENTAL CARE,P.C
NPI: 1992013973
· ELMHURST, NY 11373
· General Practice Dentistry
· NPI assigned 09/23/2010
$380K
Total Medicaid Paid
Provider Details
| Authorized Official | GANGA, MYSORE (PRESIDENT) |
| NPI Enumeration Date | 09/23/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,811 |
$26K |
| 2019 |
2,304 |
$37K |
| 2020 |
2,259 |
$40K |
| 2021 |
3,222 |
$63K |
| 2022 |
3,497 |
$74K |
| 2023 |
3,830 |
$77K |
| 2024 |
3,130 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,631 |
3,629 |
$128K |
| D0120 |
Periodic oral evaluation - established patient |
4,063 |
4,061 |
$80K |
| D0274 |
Bitewings - four radiographic images |
3,278 |
3,277 |
$62K |
| D0220 |
Intraoral - periapical first radiographic image |
4,028 |
4,026 |
$39K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,680 |
3,673 |
$37K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
392 |
291 |
$21K |
| D1208 |
Topical application of fluoride, excluding varnish |
802 |
800 |
$9K |
| D2140 |
|
82 |
65 |
$3K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$752.14 |
| D0210 |
Intraoral - complete series of radiographic images |
72 |
72 |
$268.52 |