SHOPE, ZEB
NPI: 1871581033
· MARYVILLE, TN 37803
· General Practice Dentistry
· NPI assigned 10/12/2005
$189K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,795 |
$72K |
| 2019 |
2,859 |
$71K |
| 2020 |
2,072 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,123 |
2,050 |
$48K |
| D1120 |
Prophylaxis - child |
1,351 |
1,318 |
$43K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,895 |
1,833 |
$36K |
| D1110 |
Prophylaxis - adult |
883 |
844 |
$34K |
| D0274 |
Bitewings - four radiographic images |
900 |
861 |
$20K |
| D0272 |
Bitewings - two radiographic images |
441 |
428 |
$7K |
| D1206 |
Topical application of fluoride varnish |
133 |
130 |
$2K |