Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MANNA DENTAL PLLC

NPI: 1255581468 · CYPRESS, TX 77429 · Dentist · NPI assigned 09/24/2008

$26K
Total Medicaid Paid
1,583
Total Claims
1,553
Beneficiaries
9
Codes Billed
2021-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVU, THANH (OWNER)
NPI Enumeration Date09/24/2008

Related Entities

Other providers sharing the same authorized official: VU, THANH

ProviderCityStateTotal Paid
VU MEDICAL CLINIC, P.A. WICHITA KS $77K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 432 $7K
2022 454 $8K
2023 511 $9K
2024 186 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 259 254 $7K
D1208 Topical application of fluoride, excluding varnish 333 326 $5K
D0274 Bitewings - four radiographic images 121 118 $4K
D0220 Intraoral - periapical first radiographic image 287 281 $3K
D0230 Intraoral - periapical each additional radiographic image 280 275 $3K
D1120 Prophylaxis - child 57 57 $2K
D1110 Prophylaxis - adult 27 27 $1K
D0602 207 203 $0.00
D0603 12 12 $0.00