MANISHA SURI DDS PC
NPI: 1649714692
· LINDENHURST, NY 11757
· Dentist
· NPI assigned 12/10/2016
$156K
Total Medicaid Paid
Provider Details
| Authorized Official | SURI, MANISHA (OWNER) |
| NPI Enumeration Date | 12/10/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$1K |
| 2019 |
542 |
$13K |
| 2020 |
797 |
$16K |
| 2021 |
1,537 |
$31K |
| 2022 |
1,515 |
$36K |
| 2023 |
1,516 |
$37K |
| 2024 |
929 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,763 |
1,762 |
$75K |
| D0120 |
Periodic oral evaluation - established patient |
1,263 |
1,263 |
$28K |
| D0274 |
Bitewings - four radiographic images |
752 |
752 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
1,428 |
1,399 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
486 |
485 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
148 |
147 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
993 |
985 |
$5K |
| D9110 |
|
28 |
28 |
$407.16 |