IVY DENTAL INC.
NPI: 1417980665
· LAS VEGAS, NV 89101
· General Practice Dentistry
· NPI assigned 07/09/2006
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | WU, RICHARD (DOCTOR/PRESIDENT) |
| NPI Enumeration Date | 07/09/2006 |
Related Entities
Other providers sharing the same authorized official: WU, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
881 |
$18K |
| 2020 |
590 |
$13K |
| 2021 |
1,785 |
$35K |
| 2022 |
1,824 |
$33K |
| 2023 |
712 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
1,290 |
1,263 |
$29K |
| D1110 |
Prophylaxis - adult |
706 |
688 |
$18K |
| D0160 |
|
628 |
621 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,019 |
989 |
$10K |
| D1120 |
Prophylaxis - child |
220 |
216 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
340 |
332 |
$7K |
| D0330 |
Panoramic radiographic image |
151 |
149 |
$6K |
| D1351 |
Sealant - per tooth |
284 |
43 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
950 |
794 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
160 |
158 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
32 |
28 |
$864.24 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$166.20 |