DIMPLE MANCHANDIA DDS, INC
NPI: 1801196514
· TUSTIN, CA 92780
· General Practice Dentistry
· NPI assigned 10/27/2010
$117K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
37 |
$2K |
| 2021 |
109 |
$2K |
| 2022 |
110 |
$3K |
| 2023 |
447 |
$30K |
| 2024 |
1,152 |
$80K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2335 |
|
603 |
140 |
$70K |
| D9430 |
|
593 |
449 |
$19K |
| D2394 |
|
112 |
37 |
$9K |
| D2332 |
|
73 |
26 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
55 |
$4K |
| D1110 |
Prophylaxis - adult |
44 |
43 |
$3K |
| D4341 |
|
38 |
12 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
31 |
31 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
90 |
89 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
166 |
62 |
$664.20 |
| D0350 |
|
50 |
14 |
$268.80 |