GANDHI, MANISH
NPI: 1255393773
· OAK BROOK, IL 60523
· General Practice Dentistry
· NPI assigned 04/03/2006
$1.92M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
691 |
$18K |
| 2019 |
7,668 |
$174K |
| 2020 |
5,863 |
$135K |
| 2021 |
2,619 |
$85K |
| 2022 |
16,915 |
$566K |
| 2023 |
18,360 |
$555K |
| 2024 |
13,742 |
$391K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
13,164 |
5,362 |
$618K |
| D1120 |
Prophylaxis - child |
13,215 |
12,242 |
$524K |
| D0120 |
Periodic oral evaluation - established patient |
13,758 |
12,736 |
$387K |
| D1208 |
Topical application of fluoride, excluding varnish |
12,281 |
11,301 |
$307K |
| D0601 |
|
7,703 |
7,598 |
$35K |
| D1206 |
Topical application of fluoride varnish |
1,028 |
1,015 |
$25K |
| D0602 |
|
3,741 |
3,697 |
$23K |
| D0603 |
|
788 |
786 |
$4K |
| D9110 |
|
12 |
12 |
$605.00 |
| D1110 |
Prophylaxis - adult |
96 |
69 |
$542.43 |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
63 |
$386.40 |