Medicaid Provider Spending

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

WOODBRIDGE CENTRE DENTAL

NPI: 1992918288 · WOODBRIDGE, NJ 07095 · General Practice Dentistry · NPI assigned 05/07/2007

$7K
Total Medicaid Paid
815
Total Claims
815
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialSHAH, SHREYAS (OWNER)
NPI Enumeration Date05/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 739 $7K
2019 76 $512.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 153 153 $3K
D0120 Periodic oral evaluation - established patient 134 134 $2K
D0220 Intraoral - periapical first radiographic image 267 267 $986.25
D0230 Intraoral - periapical each additional radiographic image 196 196 $831.75
D0274 Bitewings - four radiographic images 52 52 $468.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $299.00