HUDEC, DAVID
NPI: 1275820748
· GARFIELD HTS, OH 44125
· Dentist
· NPI assigned 07/06/2011
$648.68
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$409.56 |
| 2020 |
15 |
$239.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$409.56 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$239.12 |