STEPHENS, SHELBY
NPI: 1740773654
· BURKESVILLE, KY 42717
· General Practice Dentistry
· NPI assigned 06/14/2018
$955.35
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
66 |
$955.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
31 |
28 |
$528.75 |
| D1208 |
Topical application of fluoride, excluding varnish |
35 |
30 |
$426.60 |