Dental
Hudson, Mark
Hudson, Mark was paid $5K by Medicaid between Jan 2018 and Oct 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.
33Billing provider infoHUDSON, MARK
MONTICELLO, IL 61856
MONTICELLO, IL 61856
33aNPI1053459735assigned 02/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims177
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#892 of 1,017
Median peer was paid$123K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 147 | $4K | |
| 2019 | 30 | $812.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 84 | 83 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 39 | 39 | $2K |
| D1206 | Topical application of fluoride varnish | 21% | 39 | 39 | $1K |
| D0601 | 0% | 15 | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.