WYATT, AMY
NPI: 1396755856
· CARBONDALE, IL 62901
· Dentist
· NPI assigned 08/08/2006
$105K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
305 |
$8K |
| 2019 |
1,656 |
$40K |
| 2020 |
532 |
$11K |
| 2021 |
200 |
$4K |
| 2023 |
541 |
$10K |
| 2024 |
895 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
874 |
833 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
1,128 |
1,076 |
$29K |
| D1206 |
Topical application of fluoride varnish |
977 |
926 |
$22K |
| D1351 |
Sealant - per tooth |
398 |
198 |
$21K |
| D0602 |
|
183 |
174 |
$0.05 |
| D0601 |
|
507 |
480 |
$0.02 |
| D0603 |
|
62 |
59 |
$0.02 |