MOBILE DENTAL CENTERS OF WISCONSIN INC
NPI: 1962618678
· BROOKFIELD, WI 53045
· Dental Clinic/Center
· NPI assigned 05/16/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: MCCARTHY, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,017 |
$19K |
| 2019 |
961 |
$16K |
| 2020 |
328 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
576 |
559 |
$14K |
| D0191 |
|
579 |
574 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
310 |
302 |
$6K |
| D0274 |
Bitewings - four radiographic images |
251 |
245 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
287 |
282 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
110 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
40 |
$2K |
| D9110 |
|
71 |
64 |
$1K |
| D0330 |
Panoramic radiographic image |
45 |
42 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$918.05 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
12 |
$666.61 |