MARY ANN WEATHERFORD DDS, PA
NPI: 1609025451
· WYNNE, AR 72396
· Dentist
· NPI assigned 09/17/2008
$106K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
926 |
$22K |
| 2019 |
995 |
$26K |
| 2020 |
318 |
$5K |
| 2021 |
1,003 |
$29K |
| 2022 |
782 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,114 |
850 |
$28K |
| D1110 |
Prophylaxis - adult |
571 |
472 |
$25K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,199 |
929 |
$22K |
| D0272 |
Bitewings - two radiographic images |
491 |
369 |
$10K |
| D1120 |
Prophylaxis - child |
263 |
224 |
$9K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
78 |
30 |
$6K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
165 |
124 |
$4K |
| D0274 |
Bitewings - four radiographic images |
65 |
65 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
12 |
$216.60 |
| D1999 |
|
63 |
41 |
$0.00 |