WILSON AND PFAU FAMILY DENTISTRY LLC
NPI: 1013534684
· JASPER, IN 47546
· General Practice Dentistry
· NPI assigned 06/30/2020
Provider Details
| Authorized Official | BIES-PFAU, ALICIA (OWNER/OFFICE MANAGER) |
| NPI Enumeration Date | 06/30/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
236 |
$5K |
| 2021 |
954 |
$30K |
| 2022 |
717 |
$23K |
| 2023 |
639 |
$21K |
| 2024 |
382 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
848 |
805 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
1,228 |
1,152 |
$29K |
| D0274 |
Bitewings - four radiographic images |
386 |
367 |
$14K |
| D1206 |
Topical application of fluoride varnish |
411 |
374 |
$7K |
| D1120 |
Prophylaxis - child |
43 |
37 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$147.38 |