STEMM, WILSON
NPI: 1366778680
· NEW ALBANY, IN 47150
· Dentist
· NPI assigned 10/21/2009
$138K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,151 |
$34K |
| 2019 |
874 |
$64K |
| 2020 |
699 |
$25K |
| 2021 |
426 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4212 |
|
247 |
81 |
$54K |
| D0140 |
Limited oral evaluation - problem focused |
1,040 |
804 |
$24K |
| D0330 |
Panoramic radiographic image |
360 |
318 |
$15K |
| D1110 |
Prophylaxis - adult |
429 |
400 |
$14K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
138 |
40 |
$12K |
| D0277 |
|
275 |
247 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
245 |
227 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
128 |
120 |
$3K |
| D7311 |
|
51 |
38 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
46 |
41 |
$314.07 |
| D3120 |
|
58 |
24 |
$0.00 |
| D1999 |
|
100 |
74 |
$0.00 |
| D0431 |
|
33 |
30 |
$0.00 |