SHEALY, STEPHANIE
NPI: 1326295759
· ST. IGNATIUS, MT 59865
· Dentist
· NPI assigned 08/27/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
67 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$597.80 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$280.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$240.00 |