NPI: 1376039453 · HONOLULU, HI 96813 · Dental Clinic/Center · NPI assigned 07/02/2018
Authorized official WONG, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | WONG, LISA (MANAGER) |
| NPI Enumeration Date | 07/02/2018 |
Other providers sharing the same authorized official: WONG, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 196 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 58 | 58 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 65 | 60 | $707.88 |
| D0150 | Comprehensive oral evaluation - new or established patient | 20 | 20 | $582.40 |
| D0330 | Panoramic radiographic image | 12 | 12 | $567.84 |
| D0140 | Limited oral evaluation - problem focused | 14 | 14 | $407.68 |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $382.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $81.12 |