WILDEMAN, ANDREW
NPI: 1740858869
· MANAHAWKIN, NJ 08050
· General Practice Dentistry
· NPI assigned 06/15/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
96 |
$1K |
| 2024 |
339 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
133 |
132 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
140 |
102 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$638.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
45 |
45 |
$531.00 |
| D0220 |
Intraoral - periapical first radiographic image |
90 |
88 |
$425.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$144.00 |