MABRY AND MABRY DENTISTRY, LLC
NPI: 1154672558
· ANCHORAGE, AK 99504
· Dental Clinic/Center
· NPI assigned 09/25/2012
$173K
Total Medicaid Paid
Provider Details
| Authorized Official | MABRY, LARA (OWNER) |
| NPI Enumeration Date | 09/25/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
378 |
$25K |
| 2019 |
393 |
$25K |
| 2020 |
320 |
$19K |
| 2021 |
353 |
$24K |
| 2022 |
453 |
$28K |
| 2023 |
326 |
$26K |
| 2024 |
355 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,067 |
1,790 |
$149K |
| D0120 |
Periodic oral evaluation - established patient |
299 |
245 |
$11K |
| D0274 |
Bitewings - four radiographic images |
99 |
85 |
$5K |
| D9420 |
|
45 |
36 |
$3K |
| D4910 |
|
28 |
26 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |
| D1206 |
Topical application of fluoride varnish |
27 |
25 |
$637.04 |