WILSON & FIQUETT, D.M.D., P.C.
NPI: 1336239086
· FORT PAYNE, AL 35967
· General Practice Dentistry
· NPI assigned 10/13/2006
$172K
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, MARK (PRESIDENT) |
| NPI Enumeration Date | 10/13/2006 |
Related Entities
Other providers sharing the same authorized official: WILSON, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,423 |
$27K |
| 2019 |
1,147 |
$25K |
| 2020 |
1,136 |
$21K |
| 2021 |
1,826 |
$36K |
| 2022 |
1,734 |
$35K |
| 2023 |
1,114 |
$21K |
| 2024 |
330 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,543 |
2,408 |
$44K |
| D1999 |
|
1,740 |
1,532 |
$31K |
| D1206 |
Topical application of fluoride varnish |
1,021 |
987 |
$27K |
| D1120 |
Prophylaxis - child |
884 |
829 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,555 |
1,456 |
$20K |
| D1110 |
Prophylaxis - adult |
533 |
504 |
$17K |
| D0274 |
Bitewings - four radiographic images |
240 |
231 |
$6K |
| D1351 |
Sealant - per tooth |
69 |
14 |
$2K |
| D0272 |
Bitewings - two radiographic images |
66 |
60 |
$876.00 |
| D0330 |
Panoramic radiographic image |
16 |
12 |
$490.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
15 |
$270.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$192.00 |