HUTNIK, ALEX
NPI: 1073920997
· PEORIA, IL 61615
· General Practice Dentistry
· NPI assigned 07/14/2014
$815K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,347 |
$109K |
| 2019 |
4,797 |
$115K |
| 2020 |
1,560 |
$38K |
| 2021 |
1,926 |
$68K |
| 2022 |
4,643 |
$166K |
| 2023 |
5,408 |
$193K |
| 2024 |
3,778 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
5,803 |
3,213 |
$334K |
| D1120 |
Prophylaxis - child |
5,326 |
5,098 |
$206K |
| D0120 |
Periodic oral evaluation - established patient |
5,456 |
5,210 |
$146K |
| D1206 |
Topical application of fluoride varnish |
5,369 |
5,135 |
$128K |
| D0601 |
|
2,965 |
2,900 |
$105.00 |
| D0602 |
|
1,540 |
1,513 |
$50.25 |