SHAW PEDIATRIC DENTISTRY P.C.
NPI: 1205299278
· NATRONA HEIGHTS, PA 15065
· Pediatric Dentist
· NPI assigned 03/29/2016
$495.62
Total Medicaid Paid
Provider Details
| Authorized Official | SHAW, RYAN (PRESIDENT) |
| NPI Enumeration Date | 03/29/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$495.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$254.54 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$241.08 |