T SHAUN SUTHERLAND, DDS
NPI: 1093340994
· CASPER, WY 82601
· General Practice Dentistry
· NPI assigned 03/11/2020
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$0.00 |
| 2021 |
68 |
$1K |
| 2022 |
140 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
121 |
120 |
$4K |
| D1110 |
Prophylaxis - adult |
32 |
32 |
$2K |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$853.25 |
| D1999 |
|
43 |
36 |
$0.00 |