HEATHER M. WILMORE, DDS, PLLC
NPI: 1407008154
· HOUSTON, TX 77063
· Dentist
· NPI assigned 10/14/2008
$269K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
30 |
$744.00 |
| 2022 |
137 |
$5K |
| 2023 |
555 |
$147K |
| 2024 |
442 |
$116K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
190 |
175 |
$111K |
| D9222 |
|
34 |
34 |
$82K |
| D9630 |
|
102 |
101 |
$17K |
| D4921 |
|
109 |
39 |
$14K |
| D4341 |
|
29 |
14 |
$13K |
| D0603 |
|
319 |
297 |
$9K |
| D4346 |
|
16 |
16 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
68 |
45 |
$4K |
| D0274 |
Bitewings - four radiographic images |
40 |
40 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
46 |
46 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
48 |
48 |
$2K |
| D1110 |
Prophylaxis - adult |
16 |
15 |
$2K |
| D0431 |
|
17 |
17 |
$2K |
| D1330 |
|
54 |
54 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
15 |
$822.52 |
| D0350 |
|
47 |
17 |
$812.90 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$718.08 |