WIETRZYNSKA, ELZBIETA
NPI: 1679958169
· PORTLAND, OR 97209
· Dental Hygienist
· NPI assigned 07/24/2015
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
123 |
$0.00 |
| 2022 |
1,378 |
$0.00 |
| 2023 |
2,178 |
$0.00 |
| 2024 |
1,357 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1310 |
|
827 |
825 |
$0.00 |
| D1351 |
Sealant - per tooth |
1,996 |
547 |
$0.00 |
| D1330 |
|
827 |
825 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
570 |
569 |
$0.00 |
| D0191 |
|
816 |
814 |
$0.00 |