RANDY S. HATHORN D.M.D
NPI: 1528242351
· BASSFIELD, MS 39421
· Dentist
· NPI assigned 12/28/2007
Provider Details
| Authorized Official | HATHORN, RANDY (OWNER) |
| NPI Enumeration Date | 12/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$562.22 |
| 2021 |
12 |
$403.70 |
| 2022 |
16 |
$332.00 |
| 2023 |
17 |
$586.04 |
| 2024 |
30 |
$700.78 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
63 |
57 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$403.70 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
24 |
$403.16 |