COLVIN, WALLACE
NPI: 1730247222
· MOUNT CLEMENS, MI 48043
· General Practice Dentistry
· NPI assigned 12/05/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
546 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
196 |
196 |
$5K |
| D1120 |
Prophylaxis - child |
124 |
124 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
156 |
156 |
$4K |
| D1351 |
Sealant - per tooth |
56 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$552.00 |