CHRISTOPHER R WELLS DMD PC
NPI: 1801811732
· BOISE, ID 83705
· Dentist
· NPI assigned 07/13/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
844 |
$21K |
| 2019 |
512 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
406 |
406 |
$24K |
| D1120 |
Prophylaxis - child |
62 |
62 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
65 |
37 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
484 |
484 |
$132.17 |
| D1208 |
Topical application of fluoride, excluding varnish |
240 |
240 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
29 |
29 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
70 |
70 |
$0.00 |