WILSON DENTAL CLINIC, PLC
NPI: 1164507489
· FOREST CITY, IA 50436
· General Practice Dentistry
· NPI assigned 10/26/2006
Provider Details
| Authorized Official | WILSON, GEORGE (DENTIST) |
| NPI Enumeration Date | 10/26/2006 |
Related Entities
Other providers sharing the same authorized official: WILSON, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
451 |
$9K |
| 2019 |
504 |
$10K |
| 2020 |
374 |
$7K |
| 2021 |
689 |
$15K |
| 2022 |
744 |
$16K |
| 2023 |
827 |
$18K |
| 2024 |
528 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
829 |
793 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
1,441 |
1,397 |
$26K |
| D1206 |
Topical application of fluoride varnish |
1,464 |
1,411 |
$23K |
| D1120 |
Prophylaxis - child |
221 |
216 |
$6K |
| D0274 |
Bitewings - four radiographic images |
149 |
142 |
$3K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$194.09 |