SIMKINS-WISEMAN, OCTAVIA
NPI: 1164648010
· GLENN DALE, MD 20769
· General Practice Dentistry
· NPI assigned 04/18/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
361 |
$11K |
| 2020 |
245 |
$7K |
| 2021 |
182 |
$5K |
| 2022 |
229 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
478 |
471 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
327 |
322 |
$9K |
| D1120 |
Prophylaxis - child |
100 |
97 |
$4K |
| D1110 |
Prophylaxis - adult |
67 |
67 |
$4K |
| D0274 |
Bitewings - four radiographic images |
45 |
45 |
$990.00 |