SHANE DAVIDSON DDS PC
NPI: 1033651427
· WATERFORD, MI 48327
· Dentist
· NPI assigned 11/16/2016
Provider Details
| Authorized Official | DAVIDSON, SHANE (OWNER) |
| Parent Organization | SHANE DAVIDSON DDS PC |
| NPI Enumeration Date | 11/16/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
203 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
136 |
131 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
67 |
65 |
$936.49 |