S MAVI,D.D.S., INCORPORATED
NPI: 1659847549
· FRESNO, CA 93722
· 122300000X
$1.11M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12,447 |
$297K |
| 2020 |
7,968 |
$159K |
| 2021 |
9,110 |
$176K |
| 2022 |
9,471 |
$224K |
| 2023 |
6,191 |
$130K |
| 2024 |
5,909 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,662 |
2,657 |
$174K |
| D0120 |
|
2,781 |
2,758 |
$170K |
| D1120 |
|
3,304 |
3,285 |
$126K |
| D0230 |
|
25,244 |
5,213 |
$106K |
| D7140 |
|
1,780 |
817 |
$101K |
| D0274 |
|
2,485 |
2,474 |
$52K |
| D1208 |
|
4,057 |
4,032 |
$50K |
| D9430 |
|
1,505 |
1,449 |
$48K |
| D1110 |
|
544 |
540 |
$48K |
| D2150 |
|
707 |
398 |
$47K |
| D1351 |
|
2,037 |
452 |
$46K |
| D0210 |
|
915 |
912 |
$43K |
| D7210 |
|
164 |
143 |
$18K |
| D2392 |
|
220 |
154 |
$15K |
| D2391 |
|
252 |
154 |
$14K |
| D9993 |
|
299 |
299 |
$14K |
| D0220 |
|
1,012 |
1,000 |
$12K |
| D1310 |
|
298 |
298 |
$12K |
| D0272 |
|
609 |
604 |
$7K |
| D4341 |
|
68 |
18 |
$5K |
| D4910 |
|
27 |
27 |
$2K |
| D2160 |
|
14 |
12 |
$1K |
| D0601 |
|
44 |
44 |
$610.00 |
| D0270 |
|
68 |
68 |
$335.00 |