SHRIVASTAVA, ASHUTOSH
NPI: 1881982833
· MEXICO, MO 65265
· Dentist
· NPI assigned 07/12/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
103 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
21 |
21 |
$855.00 |
| D0120 |
Periodic oral evaluation - established patient |
33 |
33 |
$783.75 |
| D0274 |
Bitewings - four radiographic images |
19 |
19 |
$442.70 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
30 |
$393.30 |