ANDERSON & SHEPPARD, INC.
NPI: 1619021540
· ROANOKE, VA 24018
· Pediatric Dentist
· NPI assigned 01/22/2007
$221K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSON, A. (PRESIDENT) |
| NPI Enumeration Date | 01/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,900 |
$89K |
| 2019 |
2,665 |
$77K |
| 2020 |
1,887 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
1,124 |
1,107 |
$75K |
| D1120 |
Prophylaxis - child |
1,672 |
1,671 |
$54K |
| D0120 |
Periodic oral evaluation - established patient |
2,031 |
2,030 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,619 |
1,619 |
$32K |
| D0272 |
Bitewings - two radiographic images |
658 |
658 |
$13K |
| D1206 |
Topical application of fluoride varnish |
336 |
336 |
$7K |
| D9310 |
|
12 |
12 |
$998.28 |