HUDSON, MARK
NPI: 1053459735
· MONTICELLO, IL 61856
· General Practice Dentistry
· NPI assigned 02/02/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
147 |
$4K |
| 2019 |
30 |
$812.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
84 |
83 |
$2K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$2K |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$1K |
| D0601 |
|
15 |
15 |
$0.00 |