DANIEL HUDSON DMD PC
NPI: 1639201007
· LUVERNE, AL 36049
· Dental Clinic/Center
· NPI assigned 03/12/2007
$720.00
Total Medicaid Paid
Provider Details
| Authorized Official | HUDSON, DANIEL (OWNER) |
| NPI Enumeration Date | 03/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$330.00 |
| 2019 |
48 |
$390.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
64 |
49 |
$540.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
13 |
$180.00 |