NPI: 1801208178 · LANAI CITY, HI 96763 · Dentist · NPI assigned 05/21/2014
Authorized official WONG, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | WONG, LISA (MEMBER) |
| NPI Enumeration Date | 05/21/2014 |
Other providers sharing the same authorized official: WONG, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,629 | $103K |
| 2019 | 1,422 | $31K |
| 2020 | 828 | $20K |
| 2021 | 642 | $11K |
| 2022 | 107 | $2K |
| 2023 | 107 | $2K |
| 2024 | 277 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 2,186 | 1,965 | $63K |
| D0220 | Intraoral - periapical first radiographic image | 2,073 | 1,942 | $23K |
| D0120 | Periodic oral evaluation - established patient | 482 | 482 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 103 | 71 | $14K |
| D1120 | Prophylaxis - child | 422 | 422 | $12K |
| D0274 | Bitewings - four radiographic images | 327 | 327 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,144 | 867 | $9K |
| D1206 | Topical application of fluoride varnish | 628 | 628 | $7K |
| D1110 | Prophylaxis - adult | 178 | 178 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 159 | 159 | $5K |
| D0330 | Panoramic radiographic image | 102 | 101 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 54 | 29 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 13 | 12 | $900.80 |
| D1208 | Topical application of fluoride, excluding varnish | 129 | 129 | $859.10 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $698.88 |