SHAH-COX, MARY
NPI: 1275762007
· PEORIA, IL 61615
· Dentist
· NPI assigned 07/14/2009
$2.70M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,510 |
$428K |
| 2019 |
15,174 |
$386K |
| 2020 |
7,298 |
$180K |
| 2021 |
10,194 |
$329K |
| 2022 |
11,996 |
$439K |
| 2023 |
14,915 |
$512K |
| 2024 |
12,083 |
$424K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
21,976 |
11,221 |
$1.16M |
| D1120 |
Prophylaxis - child |
16,928 |
16,098 |
$656K |
| D0120 |
Periodic oral evaluation - established patient |
17,587 |
16,680 |
$480K |
| D1206 |
Topical application of fluoride varnish |
17,059 |
16,216 |
$406K |
| D0601 |
|
10,535 |
10,235 |
$222.75 |
| D0602 |
|
3,876 |
3,800 |
$120.00 |
| D0603 |
|
209 |
209 |
$3.00 |