GLEN SHANOCK'S DENTISTRY, PC
NPI: 1730628884
· LONG BEACH, NY 11561
· Pediatric Dentist
· NPI assigned 02/21/2017
Provider Details
| Authorized Official | SHANOCK, GLEN (OWNER) |
| NPI Enumeration Date | 02/21/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
84 |
$2K |
| 2021 |
39 |
$1K |
| 2022 |
103 |
$3K |
| 2023 |
87 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
133 |
133 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
128 |
128 |
$3K |
| D1206 |
Topical application of fluoride varnish |
40 |
40 |
$852.72 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$130.80 |