MANATEE SURGICAL CENTER, LLC
NPI: 1508857871
· BRADENTON, FL 34205
· Ambulatory Surgical Clinic/Center
· NPI assigned 11/04/2005
$445K
Total Medicaid Paid
Provider Details
| Authorized Official | WEINKLE, DANA (PRESIDENT) |
| NPI Enumeration Date | 11/04/2005 |
Related Entities
Other providers sharing the same authorized official: WEINKLE, DANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
288 |
$156K |
| 2020 |
77 |
$60K |
| 2021 |
174 |
$66K |
| 2022 |
41 |
$36K |
| 2023 |
160 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
417 |
183 |
$437K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
49 |
29 |
$6K |
| D9420 |
|
218 |
213 |
$2K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
56 |
38 |
$0.00 |