SHLOM, GORDON
NPI: 1669560900
· WATERFORD, MI 48328
· General Practice Dentistry
· NPI assigned 10/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
143 |
$4K |
| 2019 |
42 |
$946.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
67 |
67 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
60 |
60 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
46 |
46 |
$911.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$90.00 |