Medicaid Provider Spending

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

PONNAMANENI, NISHITHA

NPI: 1881173201 · DALLAS, TX 75234 · Student in an Organized Health Care Education/Training Program · NPI assigned 08/07/2018

$27K
Total Medicaid Paid
1,742
Total Claims
1,380
Beneficiaries
11
Codes Billed
2023-09
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,146 $18K
2024 596 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 225 199 $6K
D1120 Prophylaxis - child 158 138 $5K
D0230 Intraoral - periapical each additional radiographic image 405 199 $4K
D0274 Bitewings - four radiographic images 119 103 $3K
D1206 Topical application of fluoride varnish 231 206 $3K
D1110 Prophylaxis - adult 47 46 $2K
D0220 Intraoral - periapical first radiographic image 234 205 $2K
D0145 Oral evaluation for a patient under three years of age 13 13 $2K
D0272 Bitewings - two radiographic images 19 17 $350.70
D0602 261 227 $0.00
D0603 30 27 $0.00