W DENTAL, PLLC
NPI: 1093117640
· NEW YORK, NY 10014
· Health Maintenance Organization
· NPI assigned 09/25/2014
$488K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
130 |
$18K |
| 2019 |
82 |
$19K |
| 2020 |
106 |
$24K |
| 2021 |
367 |
$68K |
| 2022 |
747 |
$116K |
| 2023 |
1,286 |
$149K |
| 2024 |
803 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,735 |
1,732 |
$429K |
| D0340 |
|
489 |
489 |
$27K |
| D0330 |
Panoramic radiographic image |
486 |
486 |
$17K |
| D0350 |
|
552 |
552 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
201 |
201 |
$6K |
| D8660 |
|
58 |
58 |
$2K |