Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › GERMANTOWN › BEN MANESH DDS VI PC

BEN MANESH DDS VI PC

NPI: 1497153936 · GERMANTOWN, MD 20876 · Dentist · NPI assigned 12/16/2014

$6K
Total Medicaid Paid
147
Total Claims
140
Beneficiaries
6
Codes Billed
2018-04
First Month
2023-12
Last Month

Provider Details

Authorized OfficialMANESH, BEN (OWNER)
NPI Enumeration Date12/16/2014

Related Entities

Other providers sharing the same authorized official: MANESH, BEN

ProviderCityStateTotal Paid
SUPERTOOTH INC GAITHERSBURG MD $129K
BETHESDA CHEVY CHASE DENTAL CARE CHEVY CHASE MD $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $299.04
2023 135 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 36 33 $2K
D0140 Limited oral evaluation - problem focused 32 31 $2K
D1110 Prophylaxis - adult 12 12 $805.44
D0150 Comprehensive oral evaluation - new or established patient 13 12 $676.08
D0220 Intraoral - periapical first radiographic image 42 40 $472.80
D1206 Topical application of fluoride varnish 12 12 $299.04