OLD TOWN DENTAL LLC
NPI: 1306125182
· LITTLETON, CO 80120
· Dentist
· NPI assigned 08/10/2011
Provider Details
| Authorized Official | MALOY, SHAWN (DENTIST) |
| NPI Enumeration Date | 08/10/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
49 |
$1K |
| 2019 |
76 |
$3K |
| 2020 |
218 |
$7K |
| 2021 |
278 |
$8K |
| 2022 |
311 |
$9K |
| 2023 |
133 |
$4K |
| 2024 |
70 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
553 |
550 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
531 |
527 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
51 |
51 |
$577.88 |