Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DANIEL HUDSON DMD PC

NPI: 1639201007 · LUVERNE, AL 36049 · Dental Clinic/Center · NPI assigned 03/12/2007

$720.00
Total Medicaid Paid
80
Total Claims
62
Beneficiaries
2
Codes Billed
2018-03
First Month
2019-08
Last Month

Provider Details

Authorized OfficialHUDSON, DANIEL (OWNER)
NPI Enumeration Date03/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $330.00
2019 48 $390.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 64 49 $540.00
D0120 Periodic oral evaluation - established patient 16 13 $180.00