JONATHAN OUDIN, DDS, LLC
NPI: 1265167522
· WASILLA, AK 99654
· General Practice Dentistry
· NPI assigned 07/20/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
16 |
$667.41 |
| 2023 |
360 |
$20K |
| 2024 |
509 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
210 |
198 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
257 |
241 |
$11K |
| D0274 |
Bitewings - four radiographic images |
162 |
152 |
$9K |
| D1206 |
Topical application of fluoride varnish |
209 |
195 |
$5K |
| D0330 |
Panoramic radiographic image |
47 |
46 |
$4K |