WAGNER, FREDERIC
NPI: 1043359417
· CHARLOTTE, MI 48813
· General Practice Dentistry
· NPI assigned 02/05/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
152 |
$4K |
| 2019 |
84 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
69 |
69 |
$2K |
| D1110 |
Prophylaxis - adult |
29 |
27 |
$1K |
| D1120 |
Prophylaxis - child |
18 |
18 |
$720.00 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
42 |
$632.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
48 |
25 |
$390.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$384.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$300.00 |