XU, WEI
NPI: 1942990742
· FOLEY, AL 36535
· General Practice Dentistry
· NPI assigned 05/15/2023
$856.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
66 |
$856.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$548.15 |
| D1208 |
Topical application of fluoride, excluding varnish |
21 |
21 |
$308.70 |
| D0603 |
|
26 |
26 |
$0.00 |