SHAH, DEEP
NPI: 1679968465
· PITTSTON, PA 18640
· Dentist
· NPI assigned 03/30/2015
$724.64
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$724.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
12 |
$421.14 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$303.50 |