HUDOBA, DOUGLAS
NPI: 1306225727
· SUNBURY, OH 43074
· Dentist
· NPI assigned 05/19/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
380 |
$5K |
| 2020 |
133 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
55 |
51 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
40 |
$1K |
| D0274 |
Bitewings - four radiographic images |
56 |
52 |
$980.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
157 |
67 |
$700.00 |
| D0220 |
Intraoral - periapical first radiographic image |
146 |
136 |
$622.00 |
| D1206 |
Topical application of fluoride varnish |
32 |
31 |
$405.00 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
24 |
$304.44 |