DR. BRUCE T. WILSON D.D.S., PA
NPI: 1821686684
· MANILA, AR 72442
· Dental Clinic/Center
· NPI assigned 01/07/2021
Provider Details
| Authorized Official | MCCAIN, TANYA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/07/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
352 |
$8K |
| 2022 |
158 |
$4K |
| 2023 |
27 |
$585.20 |
| 2024 |
14 |
$358.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
230 |
229 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
165 |
163 |
$3K |
| D1110 |
Prophylaxis - adult |
55 |
54 |
$2K |
| D0272 |
Bitewings - two radiographic images |
73 |
72 |
$1K |
| D0601 |
|
28 |
27 |
$105.00 |