SUH, JUDY
NPI: 1437596897
· MCKINNEY, TX 75069
· General Practice Dentistry
· NPI assigned 05/24/2013
$108.84
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
50 |
$108.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$62.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$46.04 |
| D1330 |
|
13 |
13 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |