WYCKOFF DENTAL PC
NPI: 1861463366
· RIDGEWOOD, NY 11385
· Dental Clinic/Center
· NPI assigned 02/01/2006
Provider Details
| Authorized Official | LOUIS, RUFINA (PRESIDENT) |
| NPI Enumeration Date | 02/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
366 |
$6K |
| 2019 |
287 |
$5K |
| 2020 |
27 |
$445.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
261 |
260 |
$5K |
| D1110 |
Prophylaxis - adult |
96 |
95 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
121 |
120 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
80 |
79 |
$846.90 |
| D0230 |
Intraoral - periapical each additional radiographic image |
106 |
106 |
$645.90 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$291.20 |