WHOOLERY, STEPHEN
NPI: 1164747812
· FERGUS FALLS, MN 56537
· Pediatric Dentist
· NPI assigned 04/06/2010
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
113 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
39 |
39 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$0.00 |