MAANAVI FAMILY DENTISTRY, INC.
NPI: 1730650862
· CITY OF INDUSTRY, CA 91745
· General Practice Dentistry
· NPI assigned 12/16/2018
Provider Details
| Authorized Official | MAANAVI, SUSAN (MANAGING DENTIST) |
| NPI Enumeration Date | 12/16/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$792.00 |
| 2020 |
210 |
$6K |
| 2021 |
42 |
$2K |
| 2022 |
100 |
$6K |
| 2023 |
12 |
$792.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
146 |
146 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$925.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$528.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$319.50 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$237.60 |
| D1999 |
|
93 |
91 |
$0.00 |