ROY, MANAR
NPI: 1508327784
· CHESTNUT HILL, MA 02467
· Dentist
· NPI assigned 03/29/2019
$400.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
63 |
$400.00 |
| 2021 |
37 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
14 |
12 |
$240.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
13 |
$90.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$70.00 |
| D1999 |
|
51 |
49 |
$0.00 |