BIVENS, SHAUN
NPI: 1053480764
· MOUNT JULIET, TN 37122
· General Practice Dentistry
· NPI assigned 11/07/2006
$847.36
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$847.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$535.26 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$312.10 |