SHANSHAL, ISMAEEL
NPI: 1487174124
· CHICAGO, IL 60657
· Dentist Anesthesiologist
· NPI assigned 06/23/2017
$855.92
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$855.92 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$533.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$322.92 |