SHON J PETERSON, DMD, MS
NPI: 1699048439
· WESTMINSTER, CO 80234
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 02/09/2012
$132K
Total Medicaid Paid
Provider Details
| Authorized Official | PETERSON, SHON (OWNER/ORTHODONTIST) |
| NPI Enumeration Date | 02/09/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
222 |
$10K |
| 2019 |
355 |
$17K |
| 2020 |
221 |
$17K |
| 2021 |
361 |
$22K |
| 2022 |
215 |
$18K |
| 2023 |
597 |
$42K |
| 2024 |
44 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
529 |
528 |
$68K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
780 |
772 |
$30K |
| D0330 |
Panoramic radiographic image |
402 |
402 |
$21K |
| D0340 |
|
165 |
165 |
$10K |
| D0350 |
|
139 |
139 |
$4K |