Medicaid Provider Spending

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

KALANDOOR, MANGALA

NPI: 1861560104 · CAMPBELL, CA 95008 · Dentist · NPI assigned 12/04/2006

$16K
Total Medicaid Paid
807
Total Claims
699
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 807 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 112 110 $4K
D0210 Intraoral - complete series of radiographic images 85 84 $3K
D0150 Comprehensive oral evaluation - new or established patient 92 91 $3K
D1120 Prophylaxis - child 49 47 $1K
D0120 Periodic oral evaluation - established patient 69 68 $1K
D1208 Topical application of fluoride, excluding varnish 170 166 $1K
D0274 Bitewings - four radiographic images 47 47 $828.00
D0230 Intraoral - periapical each additional radiographic image 183 86 $582.00