TM WYLAND DENTAL LAB II
NPI: 1205233277
· WARREN, OH 44481
· General Practice Dentistry
· NPI assigned 11/19/2014
$707K
Total Medicaid Paid
Provider Details
| Authorized Official | BIDDLE, ANDREW (PRESIDENT) |
| NPI Enumeration Date | 11/19/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
650 |
$62K |
| 2021 |
1,196 |
$147K |
| 2022 |
2,305 |
$176K |
| 2023 |
2,278 |
$159K |
| 2024 |
1,116 |
$162K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
535 |
522 |
$225K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,687 |
435 |
$224K |
| D5120 |
|
296 |
290 |
$129K |
| D0330 |
Panoramic radiographic image |
1,373 |
1,348 |
$70K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,388 |
1,362 |
$40K |
| D7310 |
|
158 |
69 |
$15K |
| D1320 |
|
108 |
103 |
$3K |