SHORTT, WILLIAM
NPI: 1033229414
· SOUTH LYON, MI 48178
· Dentist
· NPI assigned 08/30/2006
$734.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$734.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$484.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$250.00 |