Dental
Hudoba Dental 1, INC
Hudoba Dental 1, INC was paid $260K by Medicaid between Jan 2018 and Sep 2022, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoHUDOBA DENTAL 1, INC
SUNBURY, OH 43074
SUNBURY, OH 43074
33aNPI1194175240assigned 06/20/2016
33bProvider typeDentist
28Total paid$260K
24GClaims14,011
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#182 of 745
Median peer was paid$38K
This provider vs. median6.8×
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 | 3,651 | $75K | |
| 2019 | 4,425 | $84K | |
| 2020 | 2,892 | $47K | |
| 2021 | 2,547 | $47K | |
| 2022 | 496 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,049 | 527 | $54K |
| D1110 | Prophylaxis - adult | 15% | 1,170 | 1,143 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,746 | 1,707 | $29K |
| D0274 | Bitewings - four radiographic images | 9.0% | 1,290 | 1,259 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 1,175 | 1,150 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 772 | 750 | $20K |
| D1206 | Topical application of fluoride varnish | 7.5% | 1,372 | 1,339 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 3,040 | 1,545 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.8% | 245 | 144 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 217 | 122 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 1,826 | 1,735 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 52 | 13 | $3K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 57 | $858.04 |
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.
From NPPES
Who's on the registration
Authorized officialHUDOBA, DOUGLAS (OWNER/DENTIST)