MCSHANE, LISA
NPI: 1275724759
· SAINT JOSEPH, MI 49085
· General Practice Dentistry
· NPI assigned 08/08/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
36 |
$1K |
| 2019 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$1K |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$625.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$480.00 |