MANCUSO, RYAN
NPI: 1164001509
· CANANDAIGUA, NY 14424
· Dentist
· NPI assigned 04/05/2021
$618.90
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
30 |
$618.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$408.90 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$210.00 |