NPI: 1457370744 · WAUSAU, WI 54403 · Dentist · NPI assigned 07/18/2006
Authorized official SMITH, JENNIFER controls 18+ related entities in our dataset. Read more
| Authorized Official | SMITH, JENNIFER (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/18/2006 |
Other providers sharing the same authorized official: SMITH, JENNIFER
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30,777 | $2.26M |
| 2019 | 34,209 | $2.82M |
| 2020 | 17,578 | $1.56M |
| 2021 | 18,961 | $1.51M |
| 2022 | 14,612 | $1.01M |
| 2023 | 14,228 | $1.09M |
| 2024 | 16,422 | $1.25M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 46,663 | 37,264 | $10.89M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,874 | 4,000 | $126K |
| 90837 | Psychotherapy, 53 minutes with patient | 2,274 | 964 | $93K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,836 | 1,086 | $84K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,403 | 1,658 | $61K |
| D1110 | Prophylaxis - adult | 15,069 | 13,805 | $29K |
| D0210 | Intraoral - complete series of radiographic images | 5,347 | 4,850 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 4,086 | 2,210 | $15K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 151 | 136 | $14K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,315 | 1,114 | $11K |
| D0120 | Periodic oral evaluation - established patient | 9,813 | 8,955 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,612 | 1,182 | $10K |
| 90686 | 680 | 609 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,976 | 3,580 | $8K |
| 90739 | 160 | 127 | $8K | |
| D1206 | Topical application of fluoride varnish | 10,731 | 9,772 | $8K |
| D1120 | Prophylaxis - child | 3,030 | 2,757 | $8K |
| 80061 | Lipid panel | 845 | 741 | $8K |
| 99000 | 3,005 | 2,522 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,427 | 1,034 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1,120 | 800 | $6K |
| D0140 | Limited oral evaluation - problem focused | 4,941 | 4,461 | $6K |
| D0274 | Bitewings - four radiographic images | 5,188 | 4,723 | $6K |
| 90832 | Psychotherapy, 30 minutes with patient | 170 | 53 | $4K |
| 80053 | Comprehensive metabolic panel | 636 | 549 | $4K |
| 90715 | 137 | 125 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 677 | 573 | $4K |
| 96127 | 605 | 514 | $3K | |
| 99215 | Prolong outpt/office vis | 106 | 73 | $3K |
| D2140 | 630 | 403 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 57 | 49 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4,298 | 3,906 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 41 | 28 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 294 | 263 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | 171 | 152 | $1K |
| D4355 | 31 | 31 | $963.59 | |
| 90716 | 17 | 16 | $850.74 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13 | 13 | $694.42 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 41 | 37 | $659.65 |
| D1351 | Sealant - per tooth | 391 | 131 | $597.60 |
| D1208 | Topical application of fluoride, excluding varnish | 174 | 171 | $583.83 |
| 99442 | 38 | 26 | $530.28 | |
| D9110 | 115 | 109 | $338.24 | |
| 90713 | 27 | 25 | $292.98 | |
| 90656 | 76 | 74 | $249.59 | |
| 80305 | 30 | 28 | $243.31 | |
| 90633 | 15 | 15 | $225.90 | |
| D0272 | Bitewings - two radiographic images | 60 | 55 | $211.46 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,247 | 1,090 | $199.39 |
| 36415 | Collection of venous blood by venipuncture | 4,042 | 3,297 | $186.26 |
| 85027 | 31 | 27 | $164.54 | |
| 90791 | Psychiatric diagnostic evaluation | 23 | 13 | $116.85 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 465 | 418 | $27.78 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 85 | 74 | $0.00 |
| D0330 | Panoramic radiographic image | 52 | 46 | $0.00 |
| D9910 | 71 | 34 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 27 | 13 | $0.00 |
| D0170 | 66 | 56 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 105 | 65 | $0.00 |
| D5899 | 22 | 12 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 101 | 83 | $0.00 |
| D3120 | 36 | 30 | $0.00 | |
| D2331 | 18 | 15 | $0.00 |