WILD, MICHELLE
NPI: 1689778086
· APO, AE 09108
· Pediatric Dentist
· NPI assigned 09/08/2006
$139K
Total Medicaid Paid
2,437
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,169 |
$89K |
| 2020 |
1,159 |
$45K |
| 2021 |
111 |
$5K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
303 |
303 |
$61K |
| D0120 |
Periodic oral evaluation - established patient |
631 |
631 |
$27K |
| D1120 |
Prophylaxis - child |
650 |
650 |
$25K |
| D1206 |
Topical application of fluoride varnish |
700 |
699 |
$21K |
| D0272 |
Bitewings - two radiographic images |
115 |
115 |
$3K |
| D9920 |
|
12 |
12 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
28 |
27 |
$588.00 |