ELLIS, WILLARD
NPI: 1306965140
· ROCKY MOUNT, NC 27804
· General Practice Dentistry
· NPI assigned 03/29/2007
$130K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
916 |
$22K |
| 2019 |
816 |
$21K |
| 2020 |
690 |
$18K |
| 2021 |
735 |
$21K |
| 2022 |
611 |
$17K |
| 2023 |
584 |
$16K |
| 2024 |
479 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,362 |
1,351 |
$53K |
| D0120 |
Periodic oral evaluation - established patient |
1,829 |
1,810 |
$46K |
| D1208 |
Topical application of fluoride, excluding varnish |
797 |
792 |
$14K |
| D0272 |
Bitewings - two radiographic images |
598 |
593 |
$11K |
| D1120 |
Prophylaxis - child |
172 |
172 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
73 |
65 |
$1K |