Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › PORTALES › IMMANNI, GANGADHAR

IMMANNI, GANGADHAR

NPI: 1912285032 · PORTALES, NM 88130 · General Practice Dentistry · NPI assigned 07/22/2011

$24K
Total Medicaid Paid
159
Total Claims
145
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 159 145 $24K