MARK MAMARI DDS. PSC. INC.
NPI: 1306917406
· FT MITCHELL, KY 41017
· Dental Clinic/Center
· NPI assigned 11/11/2006
$292K
Total Medicaid Paid
Provider Details
| Authorized Official | MAMARI, MARK (DR.) |
| NPI Enumeration Date | 11/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
659 |
$16K |
| 2019 |
347 |
$9K |
| 2020 |
1,253 |
$36K |
| 2021 |
2,590 |
$77K |
| 2022 |
1,640 |
$49K |
| 2023 |
2,124 |
$89K |
| 2024 |
327 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
2,488 |
2,414 |
$107K |
| D0140 |
Limited oral evaluation - problem focused |
2,455 |
2,388 |
$84K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,818 |
1,767 |
$51K |
| D1110 |
Prophylaxis - adult |
362 |
360 |
$17K |
| D0272 |
Bitewings - two radiographic images |
869 |
851 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
455 |
447 |
$7K |
| D1120 |
Prophylaxis - child |
123 |
121 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
340 |
334 |
$3K |
| D4341 |
|
30 |
13 |
$2K |