MANVILLE DENTAL GROUP LLC
NPI: 1043481039
· MANVILLE, NJ 08835
· Dental Clinic/Center
· NPI assigned 03/18/2008
Provider Details
| Authorized Official | CHEN, JOHN (MANAGING MEMBER) |
| NPI Enumeration Date | 03/18/2008 |
Related Entities
Other providers sharing the same authorized official: CHEN, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
702 |
$16K |
| 2019 |
532 |
$14K |
| 2020 |
613 |
$8K |
| 2021 |
576 |
$7K |
| 2022 |
191 |
$4K |
| 2023 |
96 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
877 |
859 |
$21K |
| D1110 |
Prophylaxis - adult |
809 |
798 |
$21K |
| D0274 |
Bitewings - four radiographic images |
183 |
183 |
$3K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
49 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
155 |
149 |
$813.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$648.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
29 |
28 |
$130.75 |
| D1999 |
|
511 |
430 |
$0.00 |