WONG, WINNIE
NPI: 1285080119
· ELYRIA, OH 44035
· General Practice Dentistry
· NPI assigned 05/10/2016
$409.96
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$409.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$204.96 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$140.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$65.00 |