MANIGAULT, NICOLE
NPI: 1467868653
· ELKIN, NC 28621
· General Practice Dentistry
· NPI assigned 07/08/2014
$387.84
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
42 |
$387.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
22 |
14 |
$229.32 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
12 |
$158.52 |