Medicaid Provider Spending

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

KAUSTUBH MARATHE DDS INC

NPI: 1184955817 · TEMECULA, CA 92590 · General Practice Dentistry · NPI assigned 01/20/2010

$22K
Total Medicaid Paid
1,169
Total Claims
959
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialMARATHE, KAUSTUBH (DENTIST (OWNER))
NPI Enumeration Date01/20/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 482 $8K
2019 349 $6K
2020 309 $7K
2021 29 $907.77

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 214 214 $8K
D1120 Prophylaxis - child 190 190 $6K
D0150 Comprehensive oral evaluation - new or established patient 73 73 $4K
D0230 Intraoral - periapical each additional radiographic image 519 311 $2K
D1208 Topical application of fluoride, excluding varnish 115 113 $1K
D0210 Intraoral - complete series of radiographic images 18 18 $864.00
D0220 Intraoral - periapical first radiographic image 40 40 $426.00