POYADOU, LETASIA
NPI: 1083027890
· HATTIESBURG, MS 39402
· Dentist
· NPI assigned 06/09/2014
$1.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30,772 |
$624K |
| 2019 |
13,903 |
$278K |
| 2020 |
7,645 |
$136K |
| 2021 |
2,038 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
21,652 |
4,335 |
$409K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
6,590 |
5,916 |
$218K |
| D1120 |
Prophylaxis - child |
8,509 |
7,483 |
$152K |
| D1206 |
Topical application of fluoride varnish |
6,930 |
6,803 |
$135K |
| D0272 |
Bitewings - two radiographic images |
7,917 |
6,983 |
$102K |
| D0140 |
Limited oral evaluation - problem focused |
1,587 |
1,444 |
$55K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,110 |
516 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
63 |
63 |
$1K |