Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › CORAOPOLIS › MATTA, RAJENDAR

MATTA, RAJENDAR

NPI: 1780814954 · CORAOPOLIS, PA 15108 · Dentist · NPI assigned 07/21/2009

$1K
Total Medicaid Paid
47
Total Claims
42
Beneficiaries
3
Codes Billed
2018-11
First Month
2019-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34 $732.93
2019 13 $300.53

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 16 13 $447.89
D0120 Periodic oral evaluation - established patient 13 13 $300.53
D1208 Topical application of fluoride, excluding varnish 18 16 $285.04