WILSON, ALLEN AND ASSOCIATES
NPI: 1417237512
· SPOKANE, WA 99223
· Ambulatory Surgical Clinic/Center
· NPI assigned 08/19/2011
$1.30M
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, RYAN (OWNER) |
| Parent Organization | WILSON, ALLEN AND ASSOCIATES |
| NPI Enumeration Date | 08/19/2011 |
Related Entities
Other providers sharing the same authorized official: WILSON, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
614 |
$158K |
| 2019 |
893 |
$227K |
| 2020 |
538 |
$131K |
| 2021 |
620 |
$161K |
| 2022 |
709 |
$179K |
| 2023 |
795 |
$197K |
| 2024 |
1,053 |
$251K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,876 |
1,857 |
$564K |
| D4341 |
|
1,645 |
1,632 |
$303K |
| D1206 |
Topical application of fluoride varnish |
803 |
797 |
$235K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
264 |
256 |
$60K |
| D4910 |
|
263 |
259 |
$49K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
153 |
152 |
$46K |
| D2140 |
|
111 |
110 |
$26K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
31 |
31 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
39 |
38 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$4K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
12 |
12 |
$0.00 |
| D9222 |
|
12 |
12 |
$0.00 |