WITTWER, AMANDA
NPI: 1134598576
· WAUKESHA, WI 53188
· Dental Hygienist
· NPI assigned 09/16/2015
$272K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,461 |
$37K |
| 2019 |
2,610 |
$40K |
| 2020 |
1,057 |
$16K |
| 2021 |
2,773 |
$42K |
| 2022 |
2,365 |
$48K |
| 2023 |
2,531 |
$51K |
| 2024 |
1,844 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
4,942 |
4,933 |
$74K |
| D1120 |
Prophylaxis - child |
2,572 |
2,571 |
$65K |
| D1351 |
Sealant - per tooth |
2,958 |
1,040 |
$56K |
| D0191 |
|
3,456 |
3,453 |
$44K |
| D1110 |
Prophylaxis - adult |
679 |
678 |
$23K |
| D1354 |
|
1,034 |
470 |
$10K |