DR. DENTAL OF MANCHESTER, PC
NPI: 1083006431
· MANCHESTER, CT 06040
· 122300000X
$1.37M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,494 |
$220K |
| 2019 |
11,392 |
$268K |
| 2020 |
12,108 |
$307K |
| 2021 |
12,615 |
$344K |
| 2022 |
6,871 |
$229K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,933 |
1,386 |
$160K |
| D0150 |
|
5,572 |
4,022 |
$159K |
| D1208 |
|
8,168 |
6,543 |
$132K |
| D1120 |
|
3,619 |
3,053 |
$132K |
| D1110 |
|
4,923 |
3,814 |
$115K |
| D2391 |
|
2,191 |
997 |
$100K |
| D0210 |
|
2,675 |
2,053 |
$94K |
| D0140 |
|
4,278 |
3,361 |
$91K |
| D0274 |
|
3,622 |
2,961 |
$86K |
| D0120 |
|
3,745 |
3,183 |
$80K |
| D1351 |
|
1,668 |
318 |
$43K |
| D7210 |
|
1,023 |
330 |
$39K |
| D0220 |
|
4,008 |
3,119 |
$35K |
| D7140 |
|
801 |
243 |
$35K |
| D2393 |
|
510 |
300 |
$33K |
| D0330 |
|
295 |
170 |
$8K |
| D0230 |
|
1,143 |
618 |
$8K |
| D0272 |
|
393 |
336 |
$8K |
| D0270 |
|
772 |
610 |
$3K |
| D7250 |
|
32 |
12 |
$3K |
| D2330 |
|
60 |
28 |
$2K |
| D2950 |
|
33 |
12 |
$773.76 |
| D1206 |
|
16 |
13 |
$192.08 |