OMAR WAGNER DDS INC
NPI: 1285481770
· VISALIA, CA 93291
· Dental Clinic/Center
· NPI assigned 05/02/2024
Provider Details
| Authorized Official | QUIROZ, ADRIANA (FRONT DESK) |
| NPI Enumeration Date | 05/02/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
387 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
103 |
102 |
$7K |
| D1110 |
Prophylaxis - adult |
67 |
66 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
95 |
94 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
91 |
90 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$630.00 |
| D0350 |
|
18 |
12 |
$105.60 |