Medicaid Provider Spending

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

MANGRUM, KELLY

NPI: 1396992699 · COTTONWOOD HEIGHTS, UT 84121 · General Practice Dentistry · NPI assigned 08/19/2008

$2K
Total Medicaid Paid
72
Total Claims
71
Beneficiaries
2
Codes Billed
2021-02
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 72 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 30 30 $1K
D0120 Periodic oral evaluation - established patient 42 41 $935.86