SHANE M. WELLINGTON DMD LLC
NPI: 1225813983
· EAST LIVERPOOL, OH 43920
· General Practice Dentistry
· NPI assigned 08/30/2023
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
514 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
101 |
101 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
154 |
154 |
$5K |
| D0274 |
Bitewings - four radiographic images |
88 |
88 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
81 |
81 |
$2K |
| D1120 |
Prophylaxis - child |
52 |
52 |
$2K |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$536.38 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$123.84 |