Medicaid Provider Spending

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

MOHANTY, PALLAVI

NPI: 1053711721 · KERRVILLE, TX 78028 · General Practice Dentistry · NPI assigned 08/29/2014

$3K
Total Medicaid Paid
228
Total Claims
164
Beneficiaries
8
Codes Billed
2024-02
First Month
2024-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 228 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 17 17 $1K
D0230 Intraoral - periapical each additional radiographic image 94 30 $455.69
D1120 Prophylaxis - child 12 12 $220.56
D1206 Topical application of fluoride varnish 29 29 $213.15
D0150 Comprehensive oral evaluation - new or established patient 12 12 $211.92
D0220 Intraoral - periapical first radiographic image 35 35 $200.96
D0602 15 15 $0.00
D0603 14 14 $0.00