WISEMAN, DAVID
NPI: 1679629075
· CEDARHURST, NY 11516
· General Practice Dentistry
· NPI assigned 01/26/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
240 |
$5K |
| 2020 |
688 |
$14K |
| 2021 |
728 |
$15K |
| 2022 |
82 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
346 |
346 |
$14K |
| D0274 |
Bitewings - four radiographic images |
283 |
283 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
245 |
244 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
387 |
387 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
326 |
326 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
113 |
113 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$423.78 |
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$261.60 |