WOLLENSAK, RICHARD
NPI: 1265564272
· BARRE, VT 05641
· Dentist
· NPI assigned 03/12/2007
$106K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
554 |
$18K |
| 2019 |
493 |
$15K |
| 2020 |
434 |
$13K |
| 2021 |
395 |
$13K |
| 2022 |
434 |
$14K |
| 2023 |
578 |
$17K |
| 2024 |
443 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,422 |
1,258 |
$63K |
| D0120 |
Periodic oral evaluation - established patient |
1,618 |
1,406 |
$37K |
| D0274 |
Bitewings - four radiographic images |
94 |
83 |
$2K |
| D1120 |
Prophylaxis - child |
80 |
62 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
77 |
76 |
$1K |
| D1206 |
Topical application of fluoride varnish |
40 |
27 |
$654.75 |