TIMOTHY M. RUBY DDS PLLC
NPI: 1558782789
· LUDINGTON, MI 49431
· Dental Clinic/Center
· NPI assigned 12/13/2013
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | RUBY, TIMOTHY (DENTIST/OWNER) |
| NPI Enumeration Date | 12/13/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
379 |
$11K |
| 2019 |
442 |
$12K |
| 2020 |
312 |
$8K |
| 2021 |
475 |
$13K |
| 2022 |
743 |
$22K |
| 2023 |
1,152 |
$36K |
| 2024 |
1,085 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,339 |
1,339 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
1,444 |
1,444 |
$37K |
| D1206 |
Topical application of fluoride varnish |
1,495 |
1,495 |
$36K |
| D1110 |
Prophylaxis - adult |
107 |
107 |
$5K |
| D1351 |
Sealant - per tooth |
100 |
14 |
$3K |
| D0274 |
Bitewings - four radiographic images |
54 |
54 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$852.50 |
| D0272 |
Bitewings - two radiographic images |
37 |
37 |
$752.75 |