Medicaid Provider Spending

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

BANTLE, ROXANA

NPI: 1417906801 · MIDLOTHIAN, VA 23114 · 208000000X

$13K

Total Medicaid Paid

261

Total Claims

247

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-08

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	261	$13K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99214		137	129	$11K
99393		12	12	$892.68
90460		75	70	$155.19
99174		13	12	$78.10
90461		24	24	$69.30