MANCHESTER DENTISTRY AND BRACES INC
NPI: 1164046645
· MANCHESTER, NH 03101
· 1223X0400X
$674K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
694 |
$13K |
| 2021 |
1,621 |
$52K |
| 2022 |
779 |
$27K |
| 2023 |
4,402 |
$221K |
| 2024 |
7,330 |
$362K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,207 |
1,922 |
$124K |
| D1110 |
|
1,295 |
1,159 |
$73K |
| D7210 |
|
509 |
286 |
$67K |
| D2392 |
|
555 |
309 |
$63K |
| D0140 |
|
1,357 |
1,228 |
$63K |
| D1120 |
|
1,424 |
1,234 |
$48K |
| D2391 |
|
532 |
279 |
$47K |
| D0120 |
|
1,261 |
1,149 |
$40K |
| D1206 |
|
1,658 |
1,425 |
$31K |
| D0330 |
|
736 |
637 |
$30K |
| D0210 |
|
458 |
423 |
$28K |
| D0274 |
|
738 |
646 |
$24K |
| D0220 |
|
1,065 |
945 |
$11K |
| D7140 |
|
77 |
25 |
$8K |
| D1208 |
|
436 |
390 |
$7K |
| D2393 |
|
41 |
26 |
$6K |
| D1351 |
|
47 |
12 |
$1K |
| D9230 |
|
27 |
26 |
$1K |
| D0272 |
|
40 |
37 |
$1K |
| D0230 |
|
25 |
24 |
$189.42 |
| D1999 |
|
338 |
279 |
$0.00 |