SHINE PEDIATRIC DENTAL CO.
NPI: 1548977895
· ROUND ROCK, TX 78664
· Pediatric Dentist
· NPI assigned 11/04/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
183 |
$2K |
| 2024 |
2,422 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
81 |
77 |
$9K |
| D1120 |
Prophylaxis - child |
238 |
222 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
154 |
145 |
$5K |
| D1351 |
Sealant - per tooth |
169 |
29 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
522 |
228 |
$5K |
| D0272 |
Bitewings - two radiographic images |
171 |
161 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
277 |
258 |
$3K |
| D1206 |
Topical application of fluoride varnish |
209 |
201 |
$3K |
| D0350 |
|
237 |
224 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
41 |
$1K |
| D0603 |
|
505 |
480 |
$0.00 |