DAVID J HAYUTIN DDS PROF LLC
NPI: 1649271198
· DENVER, CO 80246
· Pediatric Dentist
· NPI assigned 08/09/2005
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | HAYUTIN, DAVID (MANAGER) |
| NPI Enumeration Date | 08/09/2005 |
Related Entities
Other providers sharing the same authorized official: HAYUTIN, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,033 |
$21K |
| 2019 |
1,020 |
$22K |
| 2020 |
1,012 |
$23K |
| 2021 |
1,026 |
$23K |
| 2022 |
719 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,327 |
1,320 |
$31K |
| D1120 |
Prophylaxis - child |
749 |
745 |
$24K |
| D1206 |
Topical application of fluoride varnish |
1,302 |
1,293 |
$23K |
| D1110 |
Prophylaxis - adult |
216 |
215 |
$9K |
| D0272 |
Bitewings - two radiographic images |
402 |
402 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
448 |
441 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
366 |
359 |
$4K |