WICK, MARK
NPI: 1861697559
· SAVANNAH, MO 64485
· Dentist
· NPI assigned 06/20/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
417 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
61 |
61 |
$3K |
| D1206 |
Topical application of fluoride varnish |
95 |
93 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
113 |
108 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
60 |
60 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
57 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
16 |
15 |
$993.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$527.00 |