SHIVAM DENTAL LLC
NPI: 1720627243
· HELLERTOWN, PA 18055
· Clinic/Center
· NPI assigned 01/01/2020
Provider Details
| Authorized Official | KASWALA, RAJESH (DENTIST) |
| Parent Organization | SHIVAM DENTAL |
| NPI Enumeration Date | 01/01/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,037 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
126 |
122 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
109 |
$3K |
| D0274 |
Bitewings - four radiographic images |
100 |
98 |
$3K |
| D1206 |
Topical application of fluoride varnish |
63 |
61 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
33 |
33 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
117 |
111 |
$940.00 |
| D1120 |
Prophylaxis - child |
25 |
25 |
$796.00 |
| D1330 |
|
150 |
146 |
$795.80 |
| D1310 |
|
149 |
145 |
$788.70 |
| D0230 |
Intraoral - periapical each additional radiographic image |
87 |
85 |
$740.00 |
| D0601 |
|
62 |
62 |
$620.00 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$481.00 |