MANNA DENTAL PLLC
NPI: 1255581468
· CYPRESS, TX 77429
· Dentist
· NPI assigned 09/24/2008
Provider Details
| Authorized Official | VU, THANH (OWNER) |
| NPI Enumeration Date | 09/24/2008 |
Related Entities
Other providers sharing the same authorized official: VU, THANH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
432 |
$7K |
| 2022 |
454 |
$8K |
| 2023 |
511 |
$9K |
| 2024 |
186 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |