DENTAL ONE ASSOCIATES (MANASSAS) P.C.
NPI: 1396869632
· MANASSAS, VA 20109
· Dentist
· NPI assigned 03/19/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more
$447.70
Total Medicaid Paid
Provider Details
| Authorized Official | COLE, MIKE (INSURANCE DIRECTOR) |
| NPI Enumeration Date | 03/19/2007 |
Related Entities
Other providers sharing the same authorized official: COLE, MIKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
100 |
$447.70 |
| 2024 |
667 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$447.70 |
| D0220 |
Intraoral - periapical first radiographic image |
60 |
57 |
$0.00 |
| D2394 |
|
105 |
27 |
$0.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
84 |
77 |
$0.00 |
| D3120 |
|
199 |
30 |
$0.00 |
| D2335 |
|
52 |
12 |
$0.00 |
| D9630 |
|
100 |
92 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$0.00 |
| D9994 |
|
51 |
51 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
31 |
12 |
$0.00 |