WESLEY B PHILLIPS, DDS, PA
NPI: 1104283720
· COLUMBIA, SC 29201
· Dentist
· NPI assigned 01/27/2016
$137K
Total Medicaid Paid
Provider Details
| Authorized Official | PHILLIPS, WESLEY (PRESIDENT/OWNER) |
| NPI Enumeration Date | 01/27/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
898 |
$18K |
| 2019 |
1,047 |
$18K |
| 2020 |
1,109 |
$21K |
| 2021 |
1,297 |
$24K |
| 2022 |
1,474 |
$26K |
| 2023 |
1,039 |
$20K |
| 2024 |
541 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,299 |
1,299 |
$30K |
| D1110 |
Prophylaxis - adult |
589 |
589 |
$30K |
| D1206 |
Topical application of fluoride varnish |
1,485 |
1,485 |
$24K |
| D0274 |
Bitewings - four radiographic images |
695 |
695 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
1,196 |
1,196 |
$15K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,965 |
1,081 |
$13K |
| D1120 |
Prophylaxis - child |
163 |
163 |
$6K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$246.22 |