Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › ADRIAN › MARK A. MASTELLOTTO

MARK A. MASTELLOTTO

NPI: 1972211134 · ADRIAN, MI 49221 · Dental Clinic/Center · NPI assigned 11/07/2022

$4K
Total Medicaid Paid
157
Total Claims
157
Beneficiaries
2
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMASTELLOTTO, MARK (OWNER)
NPI Enumeration Date11/07/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 54 $1K
2024 103 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 106 106 $3K
D1208 Topical application of fluoride, excluding varnish 51 51 $1K