DR. KEVIN M DUGAN D,D,S P.A
NPI: 1386922219
· NORTH LITTLE ROCK, AR 72117
· General Practice Dentistry
· NPI assigned 07/26/2011
$200K
Total Medicaid Paid
Provider Details
| Authorized Official | DUGAN, KEVIN (DENTIST) |
| NPI Enumeration Date | 07/26/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
245 |
$7K |
| 2019 |
83 |
$2K |
| 2020 |
200 |
$6K |
| 2021 |
544 |
$17K |
| 2022 |
1,806 |
$65K |
| 2023 |
2,084 |
$73K |
| 2024 |
1,000 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,215 |
1,197 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
2,011 |
1,944 |
$50K |
| D0210 |
Intraoral - complete series of radiographic images |
423 |
417 |
$34K |
| D0272 |
Bitewings - two radiographic images |
792 |
768 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
389 |
376 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
601 |
588 |
$11K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
137 |
81 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
317 |
307 |
$5K |
| D2140 |
|
65 |
40 |
$4K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$433.20 |