WILDE, LEWIS
NPI: 1922673599
· GALLUP, NM 87301
· Dentist
· NPI assigned 05/25/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
614 |
$15K |
| 2022 |
176 |
$4K |
| 2023 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
139 |
139 |
$5K |
| D0274 |
Bitewings - four radiographic images |
117 |
117 |
$4K |
| D1110 |
Prophylaxis - adult |
70 |
70 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
133 |
133 |
$3K |
| D1120 |
Prophylaxis - child |
67 |
67 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
157 |
156 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
132 |
132 |
$1K |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$232.93 |