STALCUP, GWEN
NPI: 1538241393
· WELLINGTON, KS 67152
· General Practice Dentistry
· NPI assigned 10/20/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
783 |
$15K |
| 2019 |
609 |
$12K |
| 2020 |
144 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
505 |
473 |
$9K |
| D1120 |
Prophylaxis - child |
334 |
312 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
556 |
520 |
$8K |
| D1110 |
Prophylaxis - adult |
75 |
71 |
$2K |
| D0274 |
Bitewings - four radiographic images |
26 |
25 |
$638.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
13 |
$348.00 |
| D0272 |
Bitewings - two radiographic images |
23 |
18 |
$320.00 |