MITTELSTADT, SHAWNA
NPI: 1447746748
· WAUKESHA, WI 53188
· Dental Hygienist
· NPI assigned 07/10/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,107 |
$16K |
| 2019 |
4,087 |
$57K |
| 2020 |
1,090 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,194 |
2,116 |
$27K |
| D1120 |
Prophylaxis - child |
1,109 |
1,061 |
$22K |
| D1351 |
Sealant - per tooth |
1,127 |
367 |
$17K |
| D0191 |
|
1,425 |
1,351 |
$14K |
| D1110 |
Prophylaxis - adult |
227 |
210 |
$6K |
| D1354 |
|
202 |
80 |
$1K |