SHIELDS, VANCE
NPI: 1407907769
· MYRTLE BEACH, SC 29577
· Pediatric Dentist
· NPI assigned 01/15/2007
$297K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,762 |
$55K |
| 2019 |
1,627 |
$52K |
| 2020 |
1,472 |
$47K |
| 2021 |
1,416 |
$45K |
| 2022 |
1,324 |
$42K |
| 2023 |
1,030 |
$33K |
| 2024 |
714 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
4,405 |
4,405 |
$101K |
| D1120 |
Prophylaxis - child |
2,588 |
2,588 |
$90K |
| D1110 |
Prophylaxis - adult |
1,748 |
1,748 |
$88K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
493 |
456 |
$16K |
| D0272 |
Bitewings - two radiographic images |
98 |
98 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$500.50 |