SHAW, MARK
NPI: 1831202068
· ELMIRA HEIGHTS, NY 14903
· General Practice Dentistry
· NPI assigned 08/15/2006
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
238 |
$9K |
| 2019 |
411 |
$15K |
| 2020 |
351 |
$11K |
| 2021 |
522 |
$19K |
| 2022 |
437 |
$16K |
| 2023 |
499 |
$19K |
| 2024 |
316 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,111 |
1,111 |
$58K |
| D0120 |
Periodic oral evaluation - established patient |
1,564 |
1,563 |
$42K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$982.80 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$746.76 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$189.78 |
| D1999 |
|
36 |
36 |
$0.00 |