MANOV, LUBOMIR
NPI: 1336240811
· PARADISE VALLEY, AZ 85253
· General Practice Dentistry
· NPI assigned 09/26/2006
$151.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$10.01 |
| 2020 |
15 |
$141.39 |
| 2023 |
35 |
$0.00 |
| 2024 |
89 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
15 |
13 |
$141.39 |
| D0220 |
Intraoral - periapical first radiographic image |
136 |
124 |
$10.01 |