Medicaid Provider Spending

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

LUTHRA, RAKHI

NPI: 1144732157 · TROY, MI 48085 · Dentist · NPI assigned 10/31/2017

$4K
Total Medicaid Paid
139
Total Claims
114
Beneficiaries
6
Codes Billed
2018-02
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $2K
2019 63 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 38 13 $1K
D0120 Periodic oral evaluation - established patient 38 38 $876.20
D1120 Prophylaxis - child 19 19 $779.00
D1208 Topical application of fluoride, excluding varnish 20 20 $500.00
D0274 Bitewings - four radiographic images 12 12 $444.00
D1110 Prophylaxis - adult 12 12 $316.01