WILSON, MICHAEL
NPI: 1750542973
· PARKERSBURG, WV 26101
· General Practice Dentistry
· NPI assigned 06/19/2008
$493.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
40 |
$493.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
20 |
13 |
$273.00 |
| D1206 |
Topical application of fluoride varnish |
20 |
14 |
$220.50 |