WELLS, ROBERT
NPI: 1053429613
· SALLISAW, OK 74955
· General Practice Dentistry
· NPI assigned 08/25/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
140 |
$3K |
| 2019 |
113 |
$2K |
| 2020 |
150 |
$3K |
| 2021 |
128 |
$3K |
| 2022 |
91 |
$3K |
| 2023 |
56 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
404 |
404 |
$8K |
| D1110 |
Prophylaxis - adult |
53 |
53 |
$2K |
| D1120 |
Prophylaxis - child |
80 |
80 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
129 |
129 |
$2K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$365.88 |