MANKOTIA, SAURABH
NPI: 1083189179
· LA MARQUE, TX 77568
· Dentist
· NPI assigned 10/04/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
437 |
$11K |
| 2023 |
100 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
284 |
26 |
$8K |
| D1120 |
Prophylaxis - child |
47 |
47 |
$2K |
| D1206 |
Topical application of fluoride varnish |
87 |
85 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
31 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$988.96 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$403.90 |
| D0602 |
|
25 |
25 |
$0.00 |
| D0603 |
|
35 |
35 |
$0.00 |