DENTAL CARE OF WILMINGTON, LLC
NPI: 1780828434
· WILMINGTON, MA 01887
· Dentist
· NPI assigned 04/25/2009
Provider Details
| Authorized Official | LU, YAN (PRESIDENT) |
| NPI Enumeration Date | 04/25/2009 |
Related Entities
Other providers sharing the same authorized official: LU, YAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
876 |
$30K |
| 2019 |
356 |
$11K |
| 2020 |
127 |
$5K |
| 2021 |
483 |
$17K |
| 2022 |
405 |
$12K |
| 2023 |
293 |
$9K |
| 2024 |
230 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
676 |
636 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
1,140 |
1,077 |
$27K |
| D1208 |
Topical application of fluoride, excluding varnish |
484 |
458 |
$13K |
| D0274 |
Bitewings - four radiographic images |
239 |
230 |
$9K |
| D1120 |
Prophylaxis - child |
146 |
142 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
28 |
27 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
27 |
$436.00 |