SHELBURNE DENTAL SERVICES, P.C.
NPI: 1053751164
· SHELBURNE, VT 05482
· General Practice Dentistry
· NPI assigned 07/03/2013
Provider Details
| Authorized Official | BOUCHARD, NATHAN (OWNER/DENTIST) |
| NPI Enumeration Date | 07/03/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$266.00 |
| 2021 |
48 |
$1K |
| 2023 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
76 |
75 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |