Medicaid Provider Spending

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

BANNO, RITA

NPI: 1093110496 · DETROIT, MI 48208 · Student in an Organized Health Care Education/Training Program · NPI assigned 10/28/2014

$939.01
Total Medicaid Paid
27
Total Claims
27
Beneficiary Records
2
Codes Billed
2018-10
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $447.01
2019 12 $492.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 12 12 $492.00
D0150 Comprehensive oral evaluation - new or established patient 15 15 $447.01