MATTOX, SHAYNA
NPI: 1811334857
· GRETNA, NE 68028
· Pediatric Dentist
· NPI assigned 05/31/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
933 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
173 |
167 |
$8K |
| D1206 |
Topical application of fluoride varnish |
218 |
210 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
97 |
92 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
125 |
122 |
$4K |
| D1351 |
Sealant - per tooth |
109 |
25 |
$4K |
| D0330 |
Panoramic radiographic image |
39 |
37 |
$3K |
| D0272 |
Bitewings - two radiographic images |
89 |
88 |
$2K |
| D1110 |
Prophylaxis - adult |
27 |
26 |
$2K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
30 |
$682.00 |