PETER C. WAGNER, D.M.D., P.S.
NPI: 1629194964
· CHEHALIS, WA 98532
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/21/2007
$1.45M
Total Medicaid Paid
Provider Details
| Authorized Official | WAGNER, PETER (PRESIDENT) |
| NPI Enumeration Date | 03/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,352 |
$687K |
| 2019 |
2,608 |
$767K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
3,381 |
3,334 |
$1.19M |
| D8030 |
|
331 |
329 |
$115K |
| D8660 |
|
367 |
360 |
$114K |
| D0160 |
|
849 |
841 |
$34K |
| D0170 |
|
32 |
31 |
$1K |