WIGHTMAN, ANDREW
NPI: 1083817878
· TOCOMA, WA 98409
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/08/2007
$115K
Total Medicaid Paid
1,067
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,629 |
$115K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
626 |
281 |
$45K |
| D7240 |
Removal of impacted tooth - completely bony |
307 |
108 |
$42K |
| D9222 |
|
235 |
227 |
$16K |
| D0330 |
Panoramic radiographic image |
154 |
151 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
307 |
300 |
$6K |