WONG, JENNIE
NPI: 1033404769
· ELMHURST, NY 11373
· Dentist
· NPI assigned 06/10/2011
$185K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,223 |
$70K |
| 2019 |
2,104 |
$42K |
| 2021 |
576 |
$12K |
| 2022 |
1,005 |
$25K |
| 2023 |
963 |
$25K |
| 2024 |
604 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,583 |
1,583 |
$72K |
| D0120 |
Periodic oral evaluation - established patient |
1,799 |
1,799 |
$41K |
| D0274 |
Bitewings - four radiographic images |
1,666 |
1,666 |
$37K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,469 |
1,469 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,201 |
1,198 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
666 |
665 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
91 |
91 |
$1K |