MICHAEL D HUMMITZSCH DDS PC
NPI: 1215320551
· AVONDALE, AZ 85392
· General Practice Dentistry
· NPI assigned 03/11/2015
$106K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
957 |
$17K |
| 2019 |
2,257 |
$25K |
| 2020 |
2,358 |
$50K |
| 2021 |
571 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
512 |
417 |
$16K |
| D1206 |
Topical application of fluoride varnish |
1,035 |
811 |
$15K |
| D0330 |
Panoramic radiographic image |
328 |
270 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,181 |
915 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
329 |
270 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,112 |
870 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
424 |
345 |
$9K |
| D0272 |
Bitewings - two radiographic images |
520 |
420 |
$8K |
| D1110 |
Prophylaxis - adult |
133 |
117 |
$6K |
| D0274 |
Bitewings - four radiographic images |
175 |
145 |
$5K |
| D1351 |
Sealant - per tooth |
33 |
12 |
$753.92 |
| D1999 |
|
361 |
319 |
$70.77 |