ROHINI RATTU DDS, INC.
NPI: 1699244244
· FOLSOM, CA 95630
· Pediatric Dentist
· NPI assigned 11/13/2018
$889.40
Total Medicaid Paid
Provider Details
| Authorized Official | RATTU, ROHINI (PEDIATRIC DENTIST / OWNER) |
| NPI Enumeration Date | 11/13/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
70 |
$889.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$420.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$200.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$156.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
14 |
$113.40 |