BRANDON R. WILCOX, D.D.S., P.C.
NPI: 1699068411
· ALLIANCE, NE 69301
· General Practice Dentistry
· NPI assigned 05/26/2011
Provider Details
| Authorized Official | WILCOX, BRANDON (DENTIST/OWNER) |
| NPI Enumeration Date | 05/26/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,260 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
183 |
87 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
288 |
288 |
$6K |
| D1120 |
Prophylaxis - child |
237 |
237 |
$6K |
| D1206 |
Topical application of fluoride varnish |
295 |
295 |
$6K |
| D0272 |
Bitewings - two radiographic images |
167 |
167 |
$2K |
| D0274 |
Bitewings - four radiographic images |
65 |
65 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
25 |
25 |
$550.00 |