SHANNON, SORY
NPI: 1134336480
· BIRMINGHAM, AL 35242
· Pediatric Dentist
· NPI assigned 05/17/2007
$101K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,017 |
$41K |
| 2019 |
1,951 |
$40K |
| 2020 |
979 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
920 |
903 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
1,377 |
1,345 |
$25K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,439 |
1,407 |
$21K |
| D1110 |
Prophylaxis - adult |
430 |
422 |
$16K |
| D0272 |
Bitewings - two radiographic images |
533 |
523 |
$9K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
209 |
183 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
26 |
$564.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$113.00 |