NPI: 1598251894 · EWA BEACH, HI 96706 · Dental Clinic/Center · NPI assigned 07/10/2018
Authorized official WONG, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | WONG, LISA (MANAGER) |
| NPI Enumeration Date | 07/10/2018 |
Other providers sharing the same authorized official: WONG, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 430 | $9K |
| 2020 | 675 | $14K |
| 2021 | 395 | $8K |
| 2022 | 24 | $229.32 |
| 2023 | 891 | $17K |
| 2024 | 136 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 910 | 669 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 816 | 725 | $8K |
| D1110 | Prophylaxis - adult | 164 | 164 | $6K |
| D0120 | Periodic oral evaluation - established patient | 114 | 114 | $3K |
| D0274 | Bitewings - four radiographic images | 112 | 112 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 276 | 238 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 57 | 57 | $2K |
| D1206 | Topical application of fluoride varnish | 77 | 77 | $2K |
| D0330 | Panoramic radiographic image | 13 | 12 | $473.20 |
| D1120 | Prophylaxis - child | 12 | 12 | $312.00 |