Medicaid Provider Spending

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

GOYAL, JASMEEN

NPI: 1447414875 · HALTOM CITY, TX 76111 · Dentist · NPI assigned 07/15/2008

$5K
Total Medicaid Paid
445
Total Claims
406
Beneficiaries
6
Codes Billed
2022-09
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 28 $138.16
2023 405 $5K
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 56 56 $2K
D0230 Intraoral - periapical each additional radiographic image 99 61 $1K
D1208 Topical application of fluoride, excluding varnish 73 73 $1K
D0220 Intraoral - periapical first radiographic image 73 73 $889.94
D1120 Prophylaxis - child 12 12 $441.00
D0603 132 131 $0.02