WITTEMAN, LORI
NPI: 1790893899
· BOTTINEAU, ND 58318
· Dentist
· NPI assigned 08/28/2006
$197K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,857 |
$78K |
| 2019 |
1,821 |
$66K |
| 2020 |
1,502 |
$48K |
| 2021 |
202 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9110 |
|
1,407 |
975 |
$50K |
| D2140 |
|
769 |
169 |
$43K |
| D1110 |
Prophylaxis - adult |
606 |
519 |
$28K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
259 |
77 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
716 |
617 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
550 |
345 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
643 |
523 |
$12K |
| D1206 |
Topical application of fluoride varnish |
252 |
238 |
$5K |
| D1351 |
Sealant - per tooth |
95 |
14 |
$3K |
| D0274 |
Bitewings - four radiographic images |
85 |
78 |
$2K |