DR. TIMOTHY J. WACHUTA
NPI: 1629457635
· DENVER, CO 80222
· Exclusive Provider Organization
· NPI assigned 05/22/2015
Provider Details
| Authorized Official | WACHUTA, TIMOTHY (DENTIST/OWNER) |
| NPI Enumeration Date | 05/22/2015 |
Related Entities
Other providers sharing the same authorized official: WACHUTA, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
925 |
$41K |
| 2019 |
13 |
$519.28 |
| 2020 |
27 |
$457.56 |
| 2021 |
28 |
$777.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
139 |
82 |
$18K |
| D1110 |
Prophylaxis - adult |
210 |
209 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
116 |
114 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
151 |
149 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
37 |
37 |
$3K |
| D0274 |
Bitewings - four radiographic images |
76 |
74 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
151 |
149 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
113 |
107 |
$1K |