WILEN DENTISTRY PLLC
NPI: 1932726742
· SPEARFISH, SD 57783
· Dental Clinic/Center
· NPI assigned 06/26/2020
Provider Details
| Authorized Official | WILEN, BRYCE (DENTIST/OWNER) |
| NPI Enumeration Date | 06/26/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$267.52 |
| 2022 |
96 |
$2K |
| 2023 |
190 |
$5K |
| 2024 |
287 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
300 |
291 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
203 |
195 |
$6K |
| D1110 |
Prophylaxis - adult |
42 |
42 |
$2K |
| D4910 |
|
12 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$183.36 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
14 |
$142.60 |