Medicaid Provider Spending

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

DULEMBA AND MANTRI MD PA

NPI: 1679567317 · DENTON, TX 76210 · Gynecology Physician · NPI assigned 09/08/2005

$4K
Total Medicaid Paid
460
Total Claims
444
Beneficiaries
3
Codes Billed
2020-06
First Month
2022-10
Last Month

Provider Details

Authorized OfficialMANTRI, SUHAS (OWNER)
NPI Enumeration Date09/08/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 89 $585.63
2021 206 $2K
2022 165 $997.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
81025 434 419 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $644.50
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 13 $454.23