WILSON DENTAL, PC
NPI: 1063667079
· ROCKFORD, MI 49341
· General Practice Dentistry
· NPI assigned 11/19/2008
$833.00
Total Medicaid Paid
Provider Details
| Authorized Official | SILVERMAN, PATTI (OFFICE MANAGER) |
| NPI Enumeration Date | 11/19/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$833.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$533.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$300.00 |