SHETH, PRATIK
NPI: 1033590435
· WICHITA, KS 67214
· Dentist
· NPI assigned 06/11/2015
$104K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,081 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
545 |
537 |
$37K |
| D0330 |
Panoramic radiographic image |
177 |
177 |
$25K |
| D1110 |
Prophylaxis - adult |
200 |
195 |
$21K |
| D1120 |
Prophylaxis - child |
108 |
106 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
169 |
167 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
287 |
284 |
$2K |
| D0274 |
Bitewings - four radiographic images |
169 |
169 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
402 |
225 |
$0.00 |