C. MICHAEL WISE D.D.S., P.A.
NPI: 1134725633
· SEARCY, AR 72143
· Dental Clinic/Center
· NPI assigned 12/09/2020
Provider Details
| Authorized Official | WISE, CHARLES (DDS) |
| NPI Enumeration Date | 12/09/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
108 |
$3K |
| 2021 |
195 |
$6K |
| 2022 |
264 |
$7K |
| 2023 |
245 |
$7K |
| 2024 |
136 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
567 |
555 |
$14K |
| D1110 |
Prophylaxis - adult |
287 |
279 |
$12K |
| D0272 |
Bitewings - two radiographic images |
56 |
56 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
36 |
$667.85 |