SHAWNEE DENTAL
NPI: 1306039987
· SHAWNEE, KS 66216
· General Practice Dentistry
· NPI assigned 08/27/2007
Provider Details
| Authorized Official | BOE, IRWIN (DENTIST) |
| NPI Enumeration Date | 08/27/2007 |
Related Entities
Other providers sharing the same authorized official: BOE, IRWIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
357 |
$7K |
| 2020 |
218 |
$1K |
| 2021 |
88 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
142 |
99 |
$2K |
| D0274 |
Bitewings - four radiographic images |
77 |
66 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
48 |
$966.00 |
| D0220 |
Intraoral - periapical first radiographic image |
80 |
68 |
$793.27 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
130 |
73 |
$709.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
67 |
57 |
$659.06 |
| D1208 |
Topical application of fluoride, excluding varnish |
31 |
31 |
$527.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$360.00 |
| D1999 |
|
32 |
16 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
40 |
16 |
$0.00 |