JOHN P. MARSHALL DDS,PC

NPI: 1164036893 · SHERIDAN, MI 48884 · General Practice Dentistry · NPI assigned 09/01/2020

$39K

Total Medicaid Paid

1,137

Total Claims

1,099

Beneficiaries

Codes Billed

2020-07

First Month

2021-03

Last Month

Provider Details

Authorized Official	MARSHALL, JOHN (DOCTOR)
NPI Enumeration Date	09/01/2020

Other providers sharing the same authorized official: MARSHALL, JOHN

Provider	City	State	Total Paid
DENTAL SURGEONS OF FALL RIVER, PC	FALL RIVER	MA	$27K
EYE ASSOCIATES, INC	BIG SPRING	TX	$26K
FALL RIVER HEALTH SERVICES LLC	FALL RIVER	MA	$355.59
T & T DRUG STORES, INC.	HENDERSON	KY	$0.00

Year	Claims	Total Paid
2020	700	$20K
2021	437	$19K

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	84	46	$8K
D1120	Prophylaxis - child	212	212	$8K
D0120	Periodic oral evaluation - established patient	293	293	$7K
D1206	Topical application of fluoride varnish	262	262	$6K
D1110	Prophylaxis - adult	128	128	$6K
D0220	Intraoral - periapical first radiographic image	95	95	$1K
D0274	Bitewings - four radiographic images	39	39	$1K
D0272	Bitewings - two radiographic images	24	24	$550.00