PDG OF SHREWSBURY PA
NPI: 1538357991
· SHREWSBURY, NJ 07702
· Dentist
· NPI assigned 10/11/2007
$980.50
Total Medicaid Paid
Provider Details
| Authorized Official | SHAFFER, TERRI (MANAGER) |
| NPI Enumeration Date | 10/11/2007 |
Related Entities
Other providers sharing the same authorized official: SHAFFER, TERRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
55 |
$201.25 |
| 2022 |
86 |
$205.50 |
| 2023 |
182 |
$573.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
165 |
158 |
$561.25 |
| D0230 |
Intraoral - periapical each additional radiographic image |
146 |
51 |
$239.25 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$180.00 |