SMITH, WYATT
NPI: 1356564512
· GARY, IN 46408
· General Practice Dentistry
· NPI assigned 04/10/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
150 |
$817.47 |
| 2019 |
147 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
159 |
143 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
116 |
103 |
$1K |
| D0274 |
Bitewings - four radiographic images |
22 |
14 |
$395.51 |