NPI: 1215409263 · KIHEI, HI 96753 · Dentist · NPI assigned 12/31/2018
Authorized official WONG, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | WONG, LISA (MANAGER) |
| NPI Enumeration Date | 12/31/2018 |
Other providers sharing the same authorized official: WONG, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 534 | $17K |
| 2021 | 1,740 | $59K |
| 2022 | 464 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 898 | 763 | $33K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 152 | 79 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 640 | 602 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 506 | 352 | $6K |
| D1206 | Topical application of fluoride varnish | 218 | 218 | $3K |
| D0120 | Periodic oral evaluation - established patient | 86 | 86 | $3K |
| D1120 | Prophylaxis - child | 72 | 72 | $2K |
| D0274 | Bitewings - four radiographic images | 50 | 50 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 50 | 50 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 30 | 12 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21 | 12 | $1K |
| D1110 | Prophylaxis - adult | 15 | 15 | $719.32 |