SHEBAH DENTAL PLLC
NPI: 1629414941
· CONVERSE, TX 78109
· Dentist
· NPI assigned 05/14/2013
Provider Details
Related Entities
Other providers sharing the same authorized official: OLUWADARA, OLUWADAYO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$115.92 |
| 2021 |
147 |
$615.40 |
| 2022 |
165 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
85 |
78 |
$525.15 |
| D0220 |
Intraoral - periapical first radiographic image |
64 |
53 |
$424.96 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$353.20 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$259.65 |
| D0230 |
Intraoral - periapical each additional radiographic image |
34 |
27 |
$178.43 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$110.28 |
| D0603 |
|
61 |
51 |
$0.00 |
| D0602 |
|
62 |
54 |
$0.00 |