WANG, ALEXIS
NPI: 1043749021
· ZANESVILLE, OH 43701
· General Practice Dentistry
· NPI assigned 06/05/2017
$963.68
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$963.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
21 |
21 |
$358.68 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$320.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
19 |
$285.00 |