SHADOW RIDGE DENTAL
NPI: 1073811014
· ELKHORN, NE 68022
· General Practice Dentistry
· NPI assigned 02/28/2011
Provider Details
| Authorized Official | BECKER, JAMES (OWNER) |
| NPI Enumeration Date | 02/28/2011 |
Related Entities
Other providers sharing the same authorized official: BECKER, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$330.00 |
| 2019 |
14 |
$291.72 |
| 2020 |
30 |
$627.26 |
| 2021 |
38 |
$858.43 |
| 2022 |
78 |
$2K |
| 2023 |
106 |
$3K |
| 2024 |
39 |
$644.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
253 |
240 |
$6K |
| D1110 |
Prophylaxis - adult |
55 |
55 |
$2K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$283.91 |