SHORE-VIGNOLA, SUSAN
NPI: 1952394439
· LAKE CITY, MI 49651
· General Practice Dentistry
· NPI assigned 08/30/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
411 |
$14K |
| 2019 |
350 |
$10K |
| 2020 |
30 |
$772.89 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
227 |
226 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
272 |
272 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
193 |
193 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
46 |
27 |
$4K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$670.10 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$602.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$491.78 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$163.89 |