OCTAVIA SIMKINS-WISEMAN DDS PC
NPI: 1548536949
· GLENN DALE, MD 20769
· Dentist
· NPI assigned 03/29/2012
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
819 |
$30K |
| 2019 |
246 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
414 |
413 |
$10K |
| D1110 |
Prophylaxis - adult |
146 |
145 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
257 |
256 |
$7K |
| D1120 |
Prophylaxis - child |
155 |
155 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
36 |
14 |
$4K |
| D0274 |
Bitewings - four radiographic images |
45 |
45 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$635.50 |