WISDOM TEETH GUYS - TEXAS, PLLC
NPI: 1205284247
· ARLINGTON, TX 76001
· General Practice Dentistry
· NPI assigned 06/01/2016
$3.76M
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, RYAN (MANAGING MEMBER) |
| NPI Enumeration Date | 06/01/2016 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
735 |
$81K |
| 2021 |
5,865 |
$626K |
| 2022 |
8,993 |
$958K |
| 2023 |
12,803 |
$1.30M |
| 2024 |
7,644 |
$792K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
8,131 |
2,808 |
$2.16M |
| D7230 |
|
3,956 |
1,792 |
$632K |
| D0330 |
Panoramic radiographic image |
5,502 |
5,390 |
$319K |
| D9222 |
|
3,572 |
3,475 |
$188K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,509 |
3,092 |
$161K |
| D0140 |
Limited oral evaluation - problem focused |
4,556 |
4,461 |
$83K |
| D7220 |
|
569 |
361 |
$78K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
635 |
363 |
$59K |
| D9610 |
|
3,958 |
3,871 |
$54K |
| D9239 |
|
298 |
295 |
$16K |
| D9243 |
|
354 |
239 |
$12K |