DR. ESTEPHAN J MOANA FILHO DDS, MS, PHD
NPI 1306245329
Dentist in Minneapolis, MN

Q: What is Estephan Moana Filho's NPI number?

The NPI number for Estephan Moana Filho is 1306245329. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Q: What is Estephan Moana Filho's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 14, 2014PECOS Enrolled

515 DELAWARE ST SE, 6-440 MOOS TOWER, MINNEAPOLIS, MN 55455(612) 626-0140(612) 626-0138 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Estephan J Moana Filho Dds, Ms, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ESTEPHAN J MOANA FILHO DDS, MS, PHD (NPI 1306245329) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (FF64) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina School Of Dentistry (2013).

NPPES Registry Identity

NPI1306245329

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ESTEPHAN J MOANA FILHOCredential: DDS, MS, PHD

Location Address515 DELAWARE ST SE, 6-440 MOOS TOWERMinneapolis, MN 55455-0357

Mailing Address515 Delaware St Se, 6-320d Moos TowerMinneapolis, MN 55455-0357 · (612) 624-3130 · Fax (612) 626-0138

Phone(612) 626-0140

Fax(612) 626-0138

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina School Of DentistryGraduated 2013

Enumeration DateAugust 14, 2014

✔ NPI 1306245329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · FF64

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

515 DELAWARE ST SE, Minneapolis, MN 55455

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Estephan J Moana Filho Dds, Ms, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123345808

PECOS Enrollment IDI20150317001324

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER LYNN BONAMICI DDS

Dentist

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-5000

DR. MICHAEL W. LEHNERT DDS

Dentist (Oral and Maxillofacial Surgery)

515 DELAWARE ST SE, 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455

Hennepin County (612) 624-7133

DR. BRETT ANDREW VOEGELE D.D.S.

Dentist

515 DELAWARE ST SE, 7TH FLOOR, MOOS TOWER
MINNEAPOLIS, MN 55455

Hennepin County (612) 624-8600

DR. LINDA JIN LIU DDS

Student in an Organized Health Care Education/Training Program

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 624-9900

RAIANA M KLINGELHUTZ

Dentist (General Practice)

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2008

MARY ELIZABETH IMDIEKE

Dentist (Prosthodontics)

515 DELAWARE ST SE, CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2495

PAIGE ELIZABETH REINERS DDS

Dentist

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2495

HUI LI

Dentist (Prosthodontics)

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (734) 450-6874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Estephan Moana Filho's NPI number?

The NPI number for Estephan Moana Filho is 1306245329. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Estephan Moana Filho located?

Estephan Moana Filho practices at 515 Delaware St SE 6-440 Moos Tower, Minneapolis, MN 55455. The listed phone number is (612) 626-0140.

What is Estephan Moana Filho's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Estephan Moana Filho enrolled in Medicare?

Yes. Estephan Moana Filho is registered in the Medicare PECOS enrollment system.

What insurance does Estephan Moana Filho accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Estephan Moana Filho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Estephan Moana Filho was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.