LANGOLF, SHANE
NPI: 1194716670
· MARYSVILLE, MI 48040
· General Practice Dentistry
· NPI assigned 11/02/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$1K |
| 2019 |
51 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
68 |
68 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$480.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$300.00 |