JAMES WONG DENTAL CORP.
NPI: 1306999651
· MAYWOOD, CA 90270
· General Practice Dentistry
· NPI assigned 01/19/2007
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | WONG, JAMES (DENTIST) |
| NPI Enumeration Date | 01/19/2007 |
Related Entities
Other providers sharing the same authorized official: WONG, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,306 |
$19K |
| 2019 |
1,113 |
$20K |
| 2020 |
360 |
$6K |
| 2021 |
613 |
$9K |
| 2022 |
978 |
$20K |
| 2023 |
1,074 |
$21K |
| 2024 |
563 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
857 |
856 |
$44K |
| D1120 |
Prophylaxis - child |
665 |
662 |
$24K |
| D0274 |
Bitewings - four radiographic images |
720 |
718 |
$15K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,319 |
1,243 |
$13K |
| D2140 |
|
99 |
65 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
59 |
59 |
$3K |
| D0350 |
|
235 |
133 |
$2K |
| D0272 |
Bitewings - two radiographic images |
53 |
53 |
$521.50 |