Medicaid Provider Spending

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

REHEMTULLA, SHYROZE

NPI: 1710008065 · ANN ARBOR, MI 48104 · Prosthodontist · NPI assigned 04/03/2007

$5K
Total Medicaid Paid
177
Total Claims
176
Beneficiaries
4
Codes Billed
2019-12
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $559.00
2020 78 $2K
2021 86 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 55 55 $2K
D1206 Topical application of fluoride varnish 55 55 $1K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $1K
D0120 Periodic oral evaluation - established patient 41 40 $916.15