BENIWAL, SHIVENDER
NPI: 1053864637
· FITCHBURG, MA 01420
· General Practice Dentistry
· NPI assigned 07/29/2016
$567.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
25 |
$567.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$401.80 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$165.60 |