SHUTTLESWORTH, TIFANI
NPI: 1083809404
· ATHENS, TX 75751
· Dentist
· NPI assigned 09/10/2007
$537.30
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
64 |
$537.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$346.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$191.10 |
| D0603 |
|
39 |
39 |
$0.00 |