MANCHESTER HEALTH DEPT
NPI: 1174783468
· MANCHESTER, NH 03101
· Public Health or Welfare Agency
· NPI assigned 06/11/2008
$244K
Total Medicaid Paid
Provider Details
| Authorized Official | SOUCY, TIMOTHY (PUBLIC HEALTH DIRECTOR) |
| NPI Enumeration Date | 06/11/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,832 |
$44K |
| 2019 |
2,010 |
$49K |
| 2020 |
709 |
$20K |
| 2021 |
485 |
$14K |
| 2022 |
936 |
$25K |
| 2023 |
1,135 |
$32K |
| 2024 |
2,200 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
6,464 |
940 |
$175K |
| D1120 |
Prophylaxis - child |
1,134 |
992 |
$36K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,563 |
1,394 |
$26K |
| D1110 |
Prophylaxis - adult |
95 |
87 |
$4K |
| D2940 |
|
51 |
13 |
$3K |