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W. WILLIAM WENTZ, JR., DDS, PC & HERBERT C. MANRY, DDS, PC
W. WILLIAM WENTZ, JR., DDS, PC & HERBERT C. MANRY, DDS, PC
NPI: 1215958541
· DANVILLE, VA 24541
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 07/21/2006
$730K
Total Medicaid Paid
Provider Details
| Authorized Official | MCVAY, TAMMY (OFFICE MANAGER) |
| NPI Enumeration Date | 07/21/2006 |
Related Entities
Other providers sharing the same authorized official: MCVAY, TAMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,579 |
$326K |
| 2019 |
4,505 |
$404K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
954 |
362 |
$216K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,603 |
1,040 |
$160K |
| D9310 |
|
1,644 |
1,644 |
$132K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
892 |
443 |
$111K |
| D9222 |
|
936 |
933 |
$57K |
| D0330 |
Panoramic radiographic image |
1,032 |
1,032 |
$54K |
| D7140 |
Extraction, erupted tooth or exposed root |
23 |
13 |
$2K |