MUKKARA HAGERSTOWN LLC
NPI: 1164094330
· HAGERSTOWN, MD 21740
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/15/2021
$610K
Total Medicaid Paid
Provider Details
| Authorized Official | MUKKARA, MAMATA (ORTHODONTIST) |
| NPI Enumeration Date | 07/15/2021 |
Related Entities
Other providers sharing the same authorized official: MUKKARA, MAMATA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
340 |
$87K |
| 2022 |
1,696 |
$151K |
| 2023 |
1,829 |
$234K |
| 2024 |
1,540 |
$138K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
3,890 |
3,760 |
$289K |
| D8999 |
|
186 |
186 |
$102K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
70 |
69 |
$71K |
| D8090 |
|
70 |
69 |
$62K |
| D8660 |
|
304 |
299 |
$45K |
| D0330 |
Panoramic radiographic image |
543 |
532 |
$25K |
| D9310 |
|
342 |
333 |
$16K |