Dental
Mustiful-Martin, Denise
Mustiful-Martin, Denise was paid $649.20 by Medicaid between Oct 2018 and Apr 2023, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoMUSTIFUL-MARTIN, DENISE
MEMPHIS, TN 38104
MEMPHIS, TN 38104
33aNPI1073676003assigned 12/19/2006
33bProvider typePeriodontist
28Total paid$649.20
24GClaims44
24DCodes billed2
24AFirst – last monthOct 2018 – Apr 2023
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13 | $348.00 | |
| 2021 | 12 | $301.20 | |
| 2023 | 19 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 25 | 25 | $649.20 |
| D0180 | 0% | 19 | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.