RAKALLA, AMRITA
NPI: 1134520620
· HINSDALE, IL 60521
· Dentist
· NPI assigned 09/15/2014
$545K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,324 |
$545K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,746 |
1,679 |
$393K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
127 |
126 |
$111K |
| D8999 |
|
289 |
284 |
$13K |
| D8660 |
|
129 |
127 |
$10K |
| D9310 |
|
566 |
552 |
$9K |
| D0330 |
Panoramic radiographic image |
467 |
457 |
$9K |