NICHOLAS J WAGNER, DDS, LLC
NPI: 1306231717
· BOONVILLE, IN 47601
· Dentist
· NPI assigned 04/02/2015
Provider Details
| Authorized Official | WAGNER, NICHOLAS (DENTIST/OWNER) |
| NPI Enumeration Date | 04/02/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
139 |
$582.63 |
| 2019 |
15 |
$356.74 |
| 2020 |
25 |
$550.92 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
121 |
104 |
$1K |
| D1110 |
Prophylaxis - adult |
58 |
48 |
$334.25 |