SHU, MAN
NPI: 1245476498
· VIENNA, VA 22182
· General Practice Dentistry
· NPI assigned 12/18/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
48 |
$818.65 |
| 2023 |
67 |
$314.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
16 |
13 |
$397.28 |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$314.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
12 |
$217.95 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$203.42 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |