PRUDHOMME, DAYTON
NPI: 1447742143
· KAPLAN, LA 70548
· Dentist
· NPI assigned 05/30/2018
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,610 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
756 |
201 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
123 |
31 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
471 |
122 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,010 |
273 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
60 |
15 |
$0.00 |
| D1120 |
Prophylaxis - child |
718 |
193 |
$0.00 |
| D1110 |
Prophylaxis - adult |
424 |
111 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
48 |
12 |
$0.00 |