MAYANI DENTAL BRIGHTON
NPI: 1598274235
· BRIGHTON, MA 02135
· Dental Clinic/Center
· NPI assigned 09/26/2017
$213K
Total Medicaid Paid
Provider Details
| Authorized Official | MAYANI, EYAD (DMD/OWNER) |
| NPI Enumeration Date | 09/26/2017 |
Related Entities
Other providers sharing the same authorized official: MAYANI, EYAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
242 |
$48K |
| 2022 |
815 |
$165K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
205 |
108 |
$138K |
| D2950 |
|
264 |
138 |
$39K |
| D1110 |
Prophylaxis - adult |
295 |
281 |
$14K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
26 |
14 |
$14K |
| D0274 |
Bitewings - four radiographic images |
82 |
75 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
37 |
33 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
34 |
34 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
53 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
13 |
$940.00 |
| D0220 |
Intraoral - periapical first radiographic image |
44 |
44 |
$627.00 |