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SMILES FOR MILES, DENTAL OFFICE OF DR MANOSOV P.C
SMILES FOR MILES, DENTAL OFFICE OF DR MANOSOV P.C
NPI: 1225169683
· MODESTO, CA 95355
· 1223G0001X
$2.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,655 |
$386K |
| 2019 |
20,432 |
$367K |
| 2020 |
16,062 |
$286K |
| 2021 |
16,507 |
$339K |
| 2022 |
19,143 |
$462K |
| 2023 |
15,697 |
$363K |
| 2024 |
17,828 |
$428K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
9,727 |
9,689 |
$548K |
| D1120 |
|
11,313 |
11,270 |
$432K |
| D1351 |
|
9,876 |
2,034 |
$275K |
| D2392 |
|
3,252 |
2,140 |
$215K |
| D0230 |
|
54,020 |
9,177 |
$214K |
| D2391 |
|
3,107 |
1,993 |
$168K |
| D0150 |
|
2,590 |
2,589 |
$164K |
| D0274 |
|
7,432 |
7,400 |
$157K |
| D0210 |
|
2,737 |
2,730 |
$128K |
| D1208 |
|
11,143 |
11,101 |
$115K |
| D0330 |
|
2,872 |
2,859 |
$85K |
| D0350 |
|
7,637 |
3,746 |
$73K |
| D1110 |
|
165 |
165 |
$14K |
| D0272 |
|
1,181 |
1,180 |
$14K |
| D7140 |
|
228 |
118 |
$13K |
| D0220 |
|
555 |
529 |
$6K |
| D1206 |
|
373 |
373 |
$5K |
| D2393 |
|
51 |
37 |
$4K |
| D9430 |
|
25 |
25 |
$800.00 |
| D1310 |
|
40 |
40 |
$0.00 |