WILDER, IRVIN
NPI: 1902008865
· RANDALLSTOWN, MD 21133
· Dentist
· NPI assigned 06/04/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
127 |
$3K |
| 2019 |
110 |
$3K |
| 2020 |
110 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
141 |
139 |
$3K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
79 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$721.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$587.05 |
| D1330 |
|
45 |
45 |
$270.00 |