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MANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC
MANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC
NPI: 1104209535
· AUSTIN, TX 78754
· 1223P0221X
$917K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
432 |
$10K |
| 2021 |
4,843 |
$131K |
| 2022 |
8,984 |
$263K |
| 2023 |
9,326 |
$267K |
| 2024 |
8,752 |
$245K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
1,757 |
1,748 |
$247K |
| D1120 |
|
3,425 |
3,399 |
$123K |
| D0120 |
|
3,165 |
3,143 |
$90K |
| D2930 |
|
512 |
224 |
$73K |
| D0272 |
|
2,587 |
2,567 |
$57K |
| D1206 |
|
3,781 |
3,754 |
$55K |
| D1351 |
|
1,822 |
572 |
$49K |
| D0230 |
|
3,084 |
1,597 |
$35K |
| D0150 |
|
988 |
978 |
$34K |
| D2392 |
|
339 |
254 |
$33K |
| D9230 |
|
1,161 |
1,102 |
$31K |
| D0220 |
|
2,359 |
2,294 |
$28K |
| D1110 |
|
437 |
435 |
$23K |
| D0274 |
|
568 |
565 |
$18K |
| D2391 |
|
205 |
138 |
$15K |
| D7140 |
|
47 |
25 |
$3K |
| D3220 |
|
18 |
12 |
$1K |
| D0330 |
|
55 |
52 |
$1K |
| D1208 |
|
27 |
27 |
$396.90 |
| D0603 |
|
6,000 |
5,965 |
$0.00 |