LARISSA M. MASTRO, DDS, P.A.
NPI: 1205001757
· CONOVER, NC 28613
· Dentist
· NPI assigned 04/25/2008
$646K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
200 |
$6K |
| 2019 |
252 |
$26K |
| 2020 |
26 |
$681.00 |
| 2021 |
57 |
$1K |
| 2022 |
835 |
$69K |
| 2023 |
810 |
$40K |
| 2024 |
6,386 |
$503K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
4,205 |
321 |
$198K |
| D5110 |
|
310 |
260 |
$150K |
| D5120 |
|
197 |
158 |
$92K |
| D5130 |
|
126 |
89 |
$58K |
| D0330 |
Panoramic radiographic image |
1,069 |
906 |
$46K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,006 |
1,737 |
$44K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
373 |
89 |
$35K |
| D5140 |
|
36 |
25 |
$17K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
244 |
183 |
$8K |