WICKSTRA, BENJAMIN
NPI: 1770763583
· HAMILTON, MI 49419
· General Practice Dentistry
· NPI assigned 11/08/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
90 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
66 |
66 |
$2K |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$526.40 |