Medicaid Provider Spending

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

MANOCHA, SRISHTI

NPI: 1710542618 · SPLENDORA, TX 77372 · Dentist · NPI assigned 05/06/2019

$6K
Total Medicaid Paid
272
Total Claims
145
Beneficiary Records
7
Codes Billed
2021-04
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 272 $6K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1351 Sealant - per tooth 138 15 $4K
D0210 Intraoral - complete series of radiographic images 17 16 $988.32
D0150 Comprehensive oral evaluation - new or established patient 28 27 $861.72
D1120 Prophylaxis - child 14 14 $514.50
D1208 Topical application of fluoride, excluding varnish 33 32 $411.60
D0602 14 13 $0.00
D0601 28 28 $0.00