SHAW DDS DENTAL CORPORATION
NPI: 1154765899
· LOS ANGELES, CA 90016
· Preferred Provider Organization
· NPI assigned 04/24/2013
Provider Details
Related Entities
Other providers sharing the same authorized official: SKINNER, ROCHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
157 |
$6K |
| 2019 |
38 |
$949.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
60 |
60 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
45 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
21 |
12 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$560.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
55 |
55 |
$507.00 |