WOLTHUIS, BART
NPI: 1023150679
· OGDEN, UT 84404
· Dentist
· NPI assigned 02/12/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
94 |
$0.00 |
| 2020 |
280 |
$3K |
| 2021 |
285 |
$3K |
| 2022 |
394 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
117 |
115 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$2K |
| D0272 |
Bitewings - two radiographic images |
43 |
42 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
280 |
268 |
$1K |
| D1120 |
Prophylaxis - child |
199 |
198 |
$161.50 |
| D1206 |
Topical application of fluoride varnish |
177 |
177 |
$141.31 |
| D0230 |
Intraoral - periapical each additional radiographic image |
223 |
205 |
$0.00 |