ROBERT R MANTONI DDS AND ASSOCIATES III PC
NPI: 1689112336
· CAMBRIDGE, MD 21613
· Dentist
· NPI assigned 02/02/2017
Provider Details
| Authorized Official | MANTONI, ROBERT (DENTIST/OWNER) |
| NPI Enumeration Date | 02/02/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
299 |
$10K |
| 2019 |
539 |
$16K |
| 2020 |
145 |
$4K |
| 2021 |
152 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
425 |
415 |
$12K |
| D1120 |
Prophylaxis - child |
238 |
234 |
$10K |
| D1206 |
Topical application of fluoride varnish |
215 |
206 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
206 |
205 |
$5K |
| D1110 |
Prophylaxis - adult |
38 |
38 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$546.00 |