DEVSI, MANMOHAN
NPI: 1700097995
· WAHPETON, ND 58075
· Dentist
· NPI assigned 05/27/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
80 |
$2K |
| 2019 |
216 |
$5K |
| 2020 |
219 |
$6K |
| 2021 |
34 |
$913.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
123 |
14 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
145 |
133 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
95 |
88 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
87 |
30 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
28 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
50 |
$998.67 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$554.54 |