Medicaid Provider Spending

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

MANKOTIA, DEEPIKA

NPI: 1619508884 · PASADENA, TX 77502 · Dentist · NPI assigned 01/27/2020

$12K
Total Medicaid Paid
709
Total Claims
405
Beneficiaries
10
Codes Billed
2021-01
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 709 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 193 30 $4K
D0230 Intraoral - periapical each additional radiographic image 165 53 $2K
D1120 Prophylaxis - child 36 34 $1K
D0120 Periodic oral evaluation - established patient 50 45 $1K
D0272 Bitewings - two radiographic images 55 50 $1K
D1208 Topical application of fluoride, excluding varnish 80 73 $990.78
D1110 Prophylaxis - adult 21 18 $823.20
D0220 Intraoral - periapical first radiographic image 59 53 $634.26
D0603 36 36 $0.00
D0602 14 13 $0.00