BENJAMIN C. WALLACE DDS, PLLC
NPI: 1841962529
· GREENVILLE, MI 48838
· Dental Clinic/Center
· NPI assigned 10/01/2021
Provider Details
Related Entities
Other providers sharing the same authorized official: WALLACE, BENJAMIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
175 |
$3K |
| 2023 |
206 |
$5K |
| 2024 |
126 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
217 |
217 |
$4K |
| D1120 |
Prophylaxis - child |
98 |
98 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
144 |
144 |
$2K |
| D1206 |
Topical application of fluoride varnish |
36 |
36 |
$960.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$402.52 |