Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › KENTWOOD › MANCEWICZ, STEPHEN

MANCEWICZ, STEPHEN

NPI: 1235422999 · KENTWOOD, MI 49508 · General Practice Dentistry · NPI assigned 05/27/2011

$6K
Total Medicaid Paid
224
Total Claims
224
Beneficiaries
3
Codes Billed
2018-02
First Month
2020-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50 $1K
2019 133 $3K
2020 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 92 92 $3K
D0120 Periodic oral evaluation - established patient 106 106 $2K
D1206 Topical application of fluoride varnish 26 26 $450.00