SWEET TOOTH SHAWNEE ORTHODONTICS, LLC
NPI: 1215512801
· SHAWNEE, KS 66217
· 1223X0400X
$616.94
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
25 |
$616.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
12 |
12 |
$381.26 |
| D1206 |
|
13 |
13 |
$235.68 |