MANAVI DENTAL CORPORATION

NPI: 1063115509 · MURRIETA, CA 92562 · General Practice Dentistry · NPI assigned 03/23/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more

$90K

Total Medicaid Paid

3,923

Total Claims

2,324

Beneficiaries

Codes Billed

2023-06

First Month

2024-11

Last Month

Provider Details

Authorized Official	REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER)
NPI Enumeration Date	03/23/2023

Other providers sharing the same authorized official: REYES, MIGUEL

Provider	City	State	Total Paid
PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION	RIALTO	CA	$11.80M
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP	ARTESIA	CA	$7.45M
MICHAEL VINCENT LAUREOLA DDS INC	RIVERSIDE	CA	$7.07M
MICHAEL VINCENT LAUREOLA DDS INC	COMPTON	CA	$6.77M
MICHAEL VINCENT LAUREOLA DDS INC	ARLETA	CA	$5.33M
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP	HEMET	CA	$3.64M
PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION	RIVERSIDE	CA	$989K
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP	WINCHESTER	CA	$896K
PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION	RANCHO CUCAMONGA	CA	$827K
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	RIALTO	CA	$727K
PAKRAVAN DENTAL CORPORATION	NORCO	CA	$369K
FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION	SANTA FE SPRINGS	CA	$322K
FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION	NORTH HOLLYWOOD	CA	$278K
SOL COHEN-SEDGH DENTAL CORPORATION	RIALTO	CA	$260K
SOL COHEN-SEDGH DENTAL CORPORATION	CALIMESA	CA	$225K
FARHAD MANAVI PROFESSIONAL DENTAL CORPORATION	WHITTIER	CA	$198K
PEDIATRIA NORTE CSP	MANATI	PR	$136K
FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION	SANTA ANA	CA	$130K
MANAVI DENTAL CORPORATION	FONTANA	CA	$129K

Year	Claims	Total Paid
2023	1,134	$25K
2024	2,789	$65K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	616	615	$40K
D0210	Intraoral - complete series of radiographic images	377	369	$18K
D0350		1,659	496	$15K
D1120	Prophylaxis - child	141	139	$7K
D1208	Topical application of fluoride, excluding varnish	169	166	$3K
D0230	Intraoral - periapical each additional radiographic image	575	154	$2K
D1320		79	79	$1K
D1206	Topical application of fluoride varnish	73	73	$1K
D0120	Periodic oral evaluation - established patient	13	13	$1K
D0330	Panoramic radiographic image	171	171	$675.00
D0274	Bitewings - four radiographic images	37	36	$518.40
D0272	Bitewings - two radiographic images	13	13	$156.00