Medicaid Provider Spending

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

DESAI, TINA

NPI: 1548675861 · ODESSA, TX 79762 · General Practice Dentistry · NPI assigned 06/25/2014

$11K
Total Medicaid Paid
431
Total Claims
311
Beneficiaries
10
Codes Billed
2023-02
First Month
2023-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 431 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 36 36 $5K
D1351 Sealant - per tooth 88 13 $2K
D1120 Prophylaxis - child 35 34 $1K
D1206 Topical application of fluoride varnish 55 54 $749.70
D0230 Intraoral - periapical each additional radiographic image 63 26 $645.58
D0150 Comprehensive oral evaluation - new or established patient 12 12 $423.84
D0220 Intraoral - periapical first radiographic image 30 28 $326.56
D0120 Periodic oral evaluation - established patient 14 12 $294.20
D0601 83 82 $0.00
D0603 15 14 $0.00