WORLAND DENTAL CLINIC, PC
NPI: 1326059791
· WORLAND, WY 82401
· General Practice Dentistry
· NPI assigned 08/11/2006
$407K
Total Medicaid Paid
Provider Details
| Authorized Official | BAKER, MELISSA (OFFICE MANAGER) |
| NPI Enumeration Date | 08/11/2006 |
Related Entities
Other providers sharing the same authorized official: BAKER, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,801 |
$47K |
| 2019 |
1,818 |
$48K |
| 2020 |
1,613 |
$44K |
| 2021 |
3,170 |
$67K |
| 2022 |
2,465 |
$62K |
| 2023 |
2,350 |
$75K |
| 2024 |
1,789 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
4,162 |
3,920 |
$127K |
| D1110 |
Prophylaxis - adult |
1,739 |
1,618 |
$78K |
| D1206 |
Topical application of fluoride varnish |
3,396 |
3,202 |
$78K |
| D1120 |
Prophylaxis - child |
2,067 |
1,938 |
$68K |
| D0274 |
Bitewings - four radiographic images |
1,087 |
994 |
$34K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
108 |
50 |
$10K |
| D1330 |
|
2,183 |
2,078 |
$4K |
| D0330 |
Panoramic radiographic image |
52 |
52 |
$3K |
| D0272 |
Bitewings - two radiographic images |
150 |
127 |
$3K |
| D1351 |
Sealant - per tooth |
38 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$794.56 |