TMANZO DDS
NPI: 1932624830
· DENVER, CO 80237
· Dentist
· NPI assigned 08/11/2017
$657K
Total Medicaid Paid
Provider Details
| Authorized Official | MANZO JENKINS, TIFFANY (OENER/DENTIST) |
| Parent Organization | APPLEWOOD DENTAL |
| NPI Enumeration Date | 08/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,712 |
$119K |
| 2019 |
1,194 |
$89K |
| 2020 |
375 |
$28K |
| 2021 |
792 |
$60K |
| 2022 |
1,307 |
$93K |
| 2023 |
1,393 |
$101K |
| 2024 |
2,217 |
$167K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
5,426 |
4,616 |
$535K |
| D1110 |
Prophylaxis - adult |
1,110 |
1,097 |
$58K |
| D0120 |
Periodic oral evaluation - established patient |
1,190 |
1,184 |
$29K |
| D1206 |
Topical application of fluoride varnish |
655 |
649 |
$16K |
| D1354 |
|
436 |
79 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
160 |
160 |
$6K |
| D0170 |
|
13 |
12 |
$386.88 |