Medicaid Provider Spending

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

SALUJA, AYESHA

NPI: 1568711869 · WARREN, MI 48093 · Dentist · NPI assigned 08/31/2012

$16K
Total Medicaid Paid
375
Total Claims
346
Beneficiaries
8
Codes Billed
2018-04
First Month
2019-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 279 $11K
2019 96 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 54 27 $7K
D1120 Prophylaxis - child 66 66 $2K
D0120 Periodic oral evaluation - established patient 77 77 $2K
D1206 Topical application of fluoride varnish 64 64 $1K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $946.64
D0220 Intraoral - periapical first radiographic image 46 45 $745.00
D1110 Prophylaxis - adult 13 13 $699.00
D0230 Intraoral - periapical each additional radiographic image 29 28 $250.00