WISDOM TOOTH CENTER, PLLC
NPI: 1801303888
· MOORE, OK 73160
· 1223S0112X
$1.86M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
155 |
$17K |
| 2019 |
1,435 |
$162K |
| 2020 |
1,854 |
$224K |
| 2021 |
3,481 |
$391K |
| 2022 |
3,841 |
$428K |
| 2023 |
4,108 |
$472K |
| 2024 |
1,389 |
$161K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
|
5,949 |
1,857 |
$1.21M |
| D9222 |
|
2,567 |
2,558 |
$192K |
| D9223 |
|
1,679 |
1,671 |
$179K |
| D9310 |
|
2,914 |
2,866 |
$135K |
| D9610 |
|
2,507 |
2,494 |
$71K |
| D7241 |
|
120 |
56 |
$34K |
| D7140 |
|
266 |
85 |
$17K |
| D7230 |
|
68 |
39 |
$11K |
| D0330 |
|
193 |
193 |
$8K |