Medicaid Provider Spending

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

KHEIRALLA, MOHAMMAD

NPI: 1144419433 · SUCCASUNNA, NJ 07876 · Prosthodontist · NPI assigned 10/23/2007

$4K
Total Medicaid Paid
144
Total Claims
144
Beneficiaries
3
Codes Billed
2018-03
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67 $2K
2019 77 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 97 97 $2K
D1110 Prophylaxis - adult 34 34 $1K
D1208 Topical application of fluoride, excluding varnish 13 13 $160.55