Medicaid Provider Spending

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

MANSURI, SALONI

NPI: 1225768864 · LANSDALE, PA 19446 · Dentist · NPI assigned 06/15/2022

$1K
Total Medicaid Paid
73
Total Claims
73
Beneficiaries
5
Codes Billed
2024-11
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 73 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 14 14 $504.00
D0274 Bitewings - four radiographic images 14 14 $392.00
D0120 Periodic oral evaluation - established patient 15 15 $300.00
D0220 Intraoral - periapical first radiographic image 15 15 $120.00
D0230 Intraoral - periapical each additional radiographic image 15 15 $120.00