DR. GARY W. MANCEWICZ DDS
NPI: 1346508124
· KENTWOOD, MI 49508
· General Practice Dentistry
· NPI assigned 04/30/2012
Provider Details
| Authorized Official | MANCEWICZ, GARY (OWNER/DENTIST) |
| NPI Enumeration Date | 04/30/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
97 |
$3K |
| 2021 |
516 |
$14K |
| 2022 |
407 |
$10K |
| 2023 |
492 |
$15K |
| 2024 |
567 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
859 |
858 |
$21K |
| D1120 |
Prophylaxis - child |
502 |
502 |
$18K |
| D1206 |
Topical application of fluoride varnish |
525 |
524 |
$11K |
| D1110 |
Prophylaxis - adult |
143 |
142 |
$7K |
| D0274 |
Bitewings - four radiographic images |
50 |
50 |
$1K |