THOMAS H. WU, D.D.S., INC.
NPI: 1710335526
· SAN GABRIEL, CA 91776
· Dental Clinic/Center
· NPI assigned 06/02/2016
Provider Details
| Authorized Official | WU, TOM (OWNER) |
| NPI Enumeration Date | 06/02/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
49 |
$3K |
| 2019 |
92 |
$6K |
| 2020 |
39 |
$1K |
| 2021 |
15 |
$222.75 |
| 2022 |
30 |
$1K |
| 2024 |
14 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
74 |
74 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$3K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
25 |
25 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
45 |
45 |
$564.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
14 |
$222.75 |