MANCHESTER DENTAL PLLC
NPI: 1063800399
· MANCHESTER, NH 03104
· General Practice Dentistry
· NPI assigned 01/09/2015
Provider Details
| Authorized Official | SAMAAN, MUHENAD (OWNER, GENERAL DENTIST) |
| NPI Enumeration Date | 01/09/2015 |
Related Entities
Other providers sharing the same authorized official: SAMAAN, MUHENAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
103 |
$2K |
| 2019 |
292 |
$7K |
| 2020 |
247 |
$7K |
| 2021 |
817 |
$26K |
| 2022 |
1,152 |
$31K |
| 2023 |
881 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
678 |
595 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,321 |
1,147 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
615 |
567 |
$18K |
| D1110 |
Prophylaxis - adult |
333 |
296 |
$15K |
| D0274 |
Bitewings - four radiographic images |
338 |
287 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
159 |
138 |
$8K |
| D0330 |
Panoramic radiographic image |
48 |
35 |
$1K |