MANVILLE FAMILY DENTAL PC
NPI: 1447702881
· MANVILLE, NJ 08835
· Public Health Dentist
· NPI assigned 11/02/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SHPANER, AL (OFFICE MANAGER / VP) |
| NPI Enumeration Date | 11/02/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
391 |
$0.00 |
| 2019 |
733 |
$0.00 |
| 2020 |
1,456 |
$0.00 |
| 2021 |
2,427 |
$0.00 |
| 2022 |
2,714 |
$0.00 |
| 2023 |
2,259 |
$0.00 |
| 2024 |
1,425 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
925 |
924 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,609 |
1,600 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,599 |
1,524 |
$0.00 |
| D1120 |
Prophylaxis - child |
146 |
146 |
$0.00 |
| D2394 |
|
29 |
24 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
2,580 |
2,569 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
1,953 |
1,943 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
872 |
808 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,274 |
977 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
262 |
261 |
$0.00 |
| D0601 |
|
14 |
14 |
$0.00 |
| D1351 |
Sealant - per tooth |
93 |
12 |
$0.00 |
| D0602 |
|
49 |
49 |
$0.00 |