HENDRICKSON, IVAN
NPI: 1003079260
· ST GEORGE, UT 84790
· Dentist
· NPI assigned 07/08/2008
$1.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
442 |
$88K |
| 2019 |
490 |
$79K |
| 2020 |
2,105 |
$350K |
| 2021 |
1,175 |
$196K |
| 2022 |
1,248 |
$227K |
| 2023 |
829 |
$105K |
| 2024 |
155 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
1,351 |
1,300 |
$605K |
| D7240 |
Removal of impacted tooth - completely bony |
3,046 |
943 |
$272K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
267 |
266 |
$147K |
| D0330 |
Panoramic radiographic image |
1,094 |
1,063 |
$17K |
| D7230 |
|
183 |
87 |
$14K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
208 |
110 |
$495.71 |
| D9222 |
|
295 |
291 |
$0.00 |