Medicaid Provider Spending

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

ROSSARIN MITSUMOTO D.D.S., P.C.

NPI: 1316467269 · SLEEPY HOLLOW, NY 10591 · 1223P0221X

$21K
Total Medicaid Paid
1,046
Total Claims
1,046
Beneficiaries
7
Codes Billed
2019-10
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 44 $1K
2020 66 $2K
2021 98 $2K
2022 88 $2K
2023 364 $8K
2024 386 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 160 160 $7K
D1208 353 353 $5K
D0120 193 193 $5K
D0274 133 133 $3K
D0220 111 111 $856.00
D1110 14 14 $630.00
D0230 82 82 $415.00