WACHTER, BENJAMIN
NPI: 1669992194
· QUEEN CREEK, AZ 85143
· Dentist
· NPI assigned 06/26/2017
$406.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
72 |
$0.00 |
| 2019 |
418 |
$0.00 |
| 2020 |
322 |
$406.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
29 |
$161.96 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$126.50 |
| D1206 |
Topical application of fluoride varnish |
47 |
42 |
$77.40 |
| D0350 |
|
99 |
21 |
$40.14 |
| D0120 |
Periodic oral evaluation - established patient |
382 |
370 |
$0.00 |
| D9997 |
|
139 |
121 |
$0.00 |
| D1330 |
|
49 |
43 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
52 |
50 |
$0.00 |