W DENTAL, PC
NPI: 1164736658
· DALLAS, TX 75240
· Dentist
· NPI assigned 07/27/2010
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | WANG, GEORGE (PRESIDENT) |
| NPI Enumeration Date | 07/27/2010 |
Related Entities
Other providers sharing the same authorized official: WANG, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
154 |
$2K |
| 2021 |
2,848 |
$52K |
| 2022 |
2,512 |
$50K |
| 2023 |
1,125 |
$24K |
| 2024 |
675 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
935 |
899 |
$26K |
| D1120 |
Prophylaxis - child |
616 |
590 |
$21K |
| D1351 |
Sealant - per tooth |
715 |
140 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,012 |
971 |
$14K |
| D0145 |
Oral evaluation for a patient under three years of age |
97 |
94 |
$13K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,262 |
706 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
785 |
749 |
$9K |
| D1110 |
Prophylaxis - adult |
161 |
157 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
118 |
116 |
$8K |
| D0274 |
Bitewings - four radiographic images |
172 |
167 |
$5K |
| D0272 |
Bitewings - two radiographic images |
182 |
176 |
$4K |
| D0602 |
|
1,232 |
1,191 |
$0.00 |
| D0603 |
|
27 |
25 |
$0.00 |