WANDA ARDEN DDS PLLC
NPI: 1992084586
· MASPETH, NY 11378
· General Practice Dentistry
· NPI assigned 08/12/2011
$694.14
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
57 |
$694.14 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$256.02 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$250.28 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$127.16 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$60.68 |