MUKKARA FREDERICK LLC
NPI: 1851963037
· FREDERICK, MD 21702
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/15/2021
$390K
Total Medicaid Paid
Provider Details
| Authorized Official | MUKKARA, MAMATA (ORTHODONTIST) |
| NPI Enumeration Date | 07/15/2021 |
Related Entities
Other providers sharing the same authorized official: MUKKARA, MAMATA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
147 |
$36K |
| 2022 |
767 |
$61K |
| 2023 |
1,286 |
$96K |
| 2024 |
1,540 |
$198K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,619 |
2,506 |
$194K |
| D8660 |
|
426 |
416 |
$62K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
41 |
41 |
$42K |
| D8090 |
|
41 |
41 |
$37K |
| D8999 |
|
53 |
53 |
$29K |
| D0330 |
Panoramic radiographic image |
320 |
313 |
$14K |
| D9310 |
|
240 |
237 |
$11K |