ALVI, SHAN
NPI: 1255834925
· CONVERSE, TX 78109
· Dentist
· NPI assigned 03/08/2018
$712.24
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
100 |
$712.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
13 |
$345.30 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$191.10 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$175.84 |
| D0601 |
|
29 |
29 |
$0.00 |