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DR. STAMATIOS GEORGE MANOLAKAS DENTINO M. D.
NPI 1689963068
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
30 N. 1900 E., RM. 5R-110, UNIVERSITY OF UTAH DEPT. OF PSYCHIATRY, SALT LAKE CITY, UT 84132(801) 581-4096 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2021, Apr 26, 2021 (2 updates tracked since 2021).

About Dr. Stamatios George Manolakas Dentino M. D. NPPES

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

DR. STAMATIOS GEORGE MANOLAKAS DENTINO M. D. (NPI 1689963068) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (8405889-1205) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Vanderbilt University School Of Medicine (2015).

NPPES Registry Identity

NPI1689963068
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. STAMATIOS GEORGE MANOLAKAS DENTINOCredential: M. D.
Location Address30 N. 1900 E., RM. 5R-110, UNIVERSITY OF UTAH DEPT. OF PSYCHIATRYSalt Lake City, UT 84132-2502
Mailing Address3030 Latham DrSacramento, CA 95864-5646 · (510) 219-7686
Phone(801) 581-4096
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2015
Enumeration DateApril 6, 2011
Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1689963068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 8405889-1205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
30 N. 1900 E., RM. 5R-110, Salt Lake City, UT 84132
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Other Names 1

Former Name (1)Mr. Stamatios George Dentino

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stamatios George Manolakas Dentino M. D. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193944056
PECOS Enrollment IDI20150605002872
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stamatios Dentino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Behavioral Health Services
0.1 mi
Psychiatry
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1679937700 (801) 587-6336
University Of Utah Acuity Care Services
0.3 mi
Critical Care Medicine
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 338 clinicians in this Medicare group
NPI 1407250541 (801) 581-2121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

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 Stamatios Dentino's NPI number?

The NPI number for Stamatios Dentino is 1689963068. It was assigned to this individual provider in the NPPES registry on April 6, 2011. The provider is also known as Mr. Stamatios George Dentino.

Where is Stamatios Dentino located?

Stamatios Dentino practices at 30 N. 1900 E., Rm. 5r-110 University Of Utah Dept. Of Psychiatry, Salt Lake City, UT 84132. The listed phone number is (801) 581-4096.

What is Stamatios Dentino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Stamatios Dentino enrolled in Medicare?

Yes. Stamatios Dentino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stamatios Dentino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stamatios Dentino reassigns Medicare benefits to 2 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT) and University Of Utah Acuity Care Services (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stamatios Dentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stamatios Dentino accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Stamatios Dentino 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.

Is Stamatios Dentino affiliated with any hospitals?

According to CMS data, Stamatios Dentino is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Stamatios Dentino was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.