WICKSON, ARTHUR
NPI: 1720077647
· LOUISVILLE, KY 40214
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/14/2005
$1.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,903 |
$572K |
| 2019 |
1,676 |
$487K |
| 2020 |
1,258 |
$218K |
| 2021 |
1,005 |
$198K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
367 |
354 |
$683K |
| D8670 |
Periodic orthodontic treatment visit |
688 |
665 |
$577K |
| D0330 |
Panoramic radiographic image |
2,116 |
2,013 |
$66K |
| D8692 |
|
373 |
214 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
1,636 |
1,572 |
$31K |
| D8999 |
|
285 |
232 |
$30K |
| D8660 |
|
213 |
192 |
$11K |
| D8704 |
|
30 |
28 |
$5K |
| D8703 |
|
29 |
27 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
69 |
59 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
36 |
36 |
$1K |