MANUEL M. CUNANAN D.M.D. INC.
NPI: 1740342476
· WARWICK, RI 02886
· Dental Clinic/Center
· NPI assigned 12/16/2006
$255K
Total Medicaid Paid
Provider Details
| Authorized Official | CUNANAN, MANUEL (PRESIDENT) |
| NPI Enumeration Date | 12/16/2006 |
Related Entities
Other providers sharing the same authorized official: CUNANAN, MANUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
885 |
$36K |
| 2019 |
3,953 |
$189K |
| 2020 |
639 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2954 |
|
452 |
339 |
$61K |
| D1110 |
Prophylaxis - adult |
1,939 |
1,926 |
$57K |
| D3310 |
|
262 |
178 |
$44K |
| D7140 |
Extraction, erupted tooth or exposed root |
486 |
235 |
$34K |
| D0330 |
Panoramic radiographic image |
578 |
571 |
$18K |
| D0274 |
Bitewings - four radiographic images |
755 |
751 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
443 |
435 |
$9K |
| D2932 |
|
91 |
46 |
$8K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
110 |
76 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
301 |
300 |
$3K |
| D0272 |
Bitewings - two radiographic images |
48 |
48 |
$672.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$120.00 |