Medicaid Provider Spending

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

NPI: 1922366475 · SHAWNEE, OK 74804 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/02/2012

$112K
Total Medicaid Paid
137
Total Claims
117
Beneficiaries
2
Codes Billed
2022-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMULLASSERIL, ANAITA (PRESIDENT)
NPI Enumeration Date05/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 52 $56K
2023 85 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 99 79 $110K
D9310 38 38 $2K