Medicaid Provider Spending

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

SALAVATI, ROXANNE

NPI: 1487217865 · BEVERLY HILLS, CA 90210 · Prosthodontist · NPI assigned 04/21/2019

$12K
Total Medicaid Paid
613
Total Claims
563
Beneficiaries
7
Codes Billed
2020-02
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 613 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 98 91 $4K
D0120 Periodic oral evaluation - established patient 125 115 $3K
D1208 Topical application of fluoride, excluding varnish 97 90 $2K
D0274 Bitewings - four radiographic images 46 46 $726.70
D0220 Intraoral - periapical first radiographic image 120 109 $655.20
D1110 Prophylaxis - adult 13 13 $533.00
D0230 Intraoral - periapical each additional radiographic image 114 99 $532.00