MICHAEL G SHANE DDS PC
NPI: 1891871471
· LANDER, WY 82520
· General Practice Dentistry
· NPI assigned 10/27/2006
Provider Details
| Authorized Official | SHANE, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 10/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
272 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
77 |
77 |
$2K |
| D1206 |
Topical application of fluoride varnish |
77 |
77 |
$2K |
| D1120 |
Prophylaxis - child |
67 |
66 |
$2K |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$180.00 |