WILSON, JAMES
NPI: 1326034661
· TIFFIN, OH 44883
· General Practice Dentistry
· NPI assigned 09/22/2005
$927.88
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$927.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
45 |
42 |
$723.13 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$204.75 |