WISDOM, ERIC
NPI: 1902822596
· MANHATTAN, KS 66502
· General Practice Dentistry
· NPI assigned 07/15/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
61 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
30 |
27 |
$526.50 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$240.00 |
| D1206 |
Topical application of fluoride varnish |
19 |
16 |
$239.00 |