Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › CLAY CENTER › WISDOM FAMILY DENTISTRY, P.A.

WISDOM FAMILY DENTISTRY, P.A.

NPI: 1487670089 · CLAY CENTER, KS 67432 · General Practice Dentistry · NPI assigned 07/15/2006

$1K
Total Medicaid Paid
88
Total Claims
76
Beneficiaries
3
Codes Billed
2018-06
First Month
2018-07
Last Month

Provider Details

Authorized OfficialWISDOM, ERIC (OWNER)
NPI Enumeration Date07/15/2006

Related Entities

Other providers sharing the same authorized official: WISDOM, ERIC

ProviderCityStateTotal Paid
ERIC J. WISDOM D.D.S., P.A. MANHATTAN KS $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 39 33 $651.00
D1206 Topical application of fluoride varnish 37 31 $493.00
D0272 Bitewings - two radiographic images 12 12 $240.00