Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ASTAR, MITRA
NPI: 1386776565 · BRONXVILLE, NY 10708 ·
Periodontist
· NPI assigned 03/12/2007
$332.50
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2019-04
First Month
2019-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
14
$332.50
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
14
14
$332.50