Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FOLSOM › ROHINI RATTU DDS, INC.

ROHINI RATTU DDS, INC.

NPI: 1699244244 · FOLSOM, CA 95630 · Pediatric Dentist · NPI assigned 11/13/2018

$889.40
Total Medicaid Paid
70
Total Claims
56
Beneficiaries
4
Codes Billed
2019-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialRATTU, ROHINI (PEDIATRIC DENTIST / OWNER)
NPI Enumeration Date11/13/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 70 $889.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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