BAXA, WILLIAM
NPI: 1770695892
· INDEPENDENCE, WI 54747
· General Practice Dentistry
· NPI assigned 08/31/2006
$857.54
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$333.06 |
| 2021 |
30 |
$524.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
26 |
$691.94 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$165.60 |