HIDDEN VALLEY SMILES
NPI: 1912223116
· BELLEVUE, WA 98005
· Dentist
· NPI assigned 04/13/2010
Provider Details
| Authorized Official | WONG, PETER (DENTIST) |
| NPI Enumeration Date | 04/13/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$847.88 |
| 2023 |
68 |
$2K |
| 2024 |
254 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
114 |
109 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
25 |
$1K |
| D0330 |
Panoramic radiographic image |
28 |
26 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$847.88 |
| D0274 |
Bitewings - four radiographic images |
48 |
46 |
$708.46 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$305.67 |
| D0230 |
Intraoral - periapical each additional radiographic image |
93 |
46 |
$227.25 |