WDWROSEVILLEPLLC
NPI: 1659936441
· ROSEVILLE, MI 48066
· Endodontist
· NPI assigned 05/07/2019
Provider Details
| Authorized Official | WEINER, WHITNEY (OWNER) |
| Parent Organization | WDW VENTURES LLC |
| NPI Enumeration Date | 05/07/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$308.00 |
| 2020 |
13 |
$340.70 |
| 2021 |
12 |
$308.00 |
| 2022 |
57 |
$1K |
| 2023 |
15 |
$336.00 |
| 2024 |
51 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
76 |
76 |
$2K |
| D1206 |
Topical application of fluoride varnish |
70 |
70 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$420.00 |