Medicaid Provider Spending

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

JETHANI, MOHIT

NPI: 1295200798 · LINCOLN, IL 62656 · General Practice Dentistry · NPI assigned 10/10/2018

$4K
Total Medicaid Paid
379
Total Claims
192
Beneficiaries
6
Codes Billed
2020-09
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 379 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 71 39 $2K
D0150 Comprehensive oral evaluation - new or established patient 76 37 $1K
D0330 Panoramic radiographic image 55 35 $863.84
D0274 Bitewings - four radiographic images 66 41 $607.20
D0220 Intraoral - periapical first radiographic image 47 28 $11.18
D0230 Intraoral - periapical each additional radiographic image 64 12 $0.00