DENTAL ASSOCIATES OF MANCHESTER
NPI: 1134109739
· MANCHESTER, IA 52057
· General Practice Dentistry
· NPI assigned 01/19/2006
$187K
Total Medicaid Paid
Provider Details
| Authorized Official | BEHNKEN, CONNIE (OFFICE MANAGER) |
| NPI Enumeration Date | 01/19/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
899 |
$18K |
| 2019 |
1,225 |
$26K |
| 2020 |
1,158 |
$26K |
| 2021 |
1,472 |
$34K |
| 2022 |
1,242 |
$27K |
| 2023 |
1,292 |
$30K |
| 2024 |
1,060 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,302 |
3,195 |
$66K |
| D1206 |
Topical application of fluoride varnish |
2,771 |
2,659 |
$47K |
| D1110 |
Prophylaxis - adult |
1,176 |
1,145 |
$43K |
| D1120 |
Prophylaxis - child |
886 |
833 |
$27K |
| D0274 |
Bitewings - four radiographic images |
213 |
210 |
$5K |