NPI: 1578910568 · KAPOLEI, HI 96707 · Dentist · NPI assigned 05/19/2016
Authorized official WONG, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | WONG, LISA (MANAGER) |
| NPI Enumeration Date | 05/19/2016 |
Other providers sharing the same authorized official: WONG, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 477 | $7K |
| 2019 | 1,606 | $33K |
| 2020 | 2,011 | $36K |
| 2021 | 487 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 1,283 | 1,132 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 1,083 | 1,023 | $11K |
| D0120 | Periodic oral evaluation - established patient | 273 | 273 | $7K |
| D1206 | Topical application of fluoride varnish | 527 | 527 | $7K |
| D1120 | Prophylaxis - child | 224 | 224 | $6K |
| D0330 | Panoramic radiographic image | 122 | 122 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 815 | 652 | $5K |
| D1110 | Prophylaxis - adult | 94 | 94 | $3K |
| D0274 | Bitewings - four radiographic images | 116 | 116 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 30 | $873.60 |
| D1999 | 14 | 13 | $0.00 |