WINN DENTAL PRACTICE, INC.
NPI: 1306373568
· SANTA BARBARA, CA 93101
· Dental Clinic/Center
· NPI assigned 05/18/2017
$164K
Total Medicaid Paid
Provider Details
| Authorized Official | WINN, ERIK (PRESIDENT) |
| NPI Enumeration Date | 05/18/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
64 |
$3K |
| 2020 |
577 |
$14K |
| 2021 |
840 |
$23K |
| 2022 |
952 |
$28K |
| 2023 |
1,432 |
$45K |
| 2024 |
1,720 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
604 |
600 |
$50K |
| D0120 |
Periodic oral evaluation - established patient |
520 |
518 |
$36K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
385 |
383 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,178 |
1,172 |
$16K |
| D0274 |
Bitewings - four radiographic images |
390 |
390 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,987 |
660 |
$8K |
| D9430 |
|
235 |
234 |
$7K |
| D1120 |
Prophylaxis - child |
128 |
128 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
138 |
138 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
13 |
$1K |