BOUDREAUX, DONALD
NPI: 1700806775
· NEW IBERIA, LA 70563
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/20/2006
$654K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,718 |
$201K |
| 2019 |
1,597 |
$193K |
| 2020 |
694 |
$78K |
| 2022 |
113 |
$16K |
| 2023 |
24 |
$2K |
| 2024 |
1,008 |
$164K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,507 |
548 |
$385K |
| D9243 |
|
1,321 |
629 |
$104K |
| D9239 |
|
574 |
573 |
$66K |
| D0330 |
Panoramic radiographic image |
814 |
806 |
$54K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
833 |
818 |
$41K |
| D9612 |
|
105 |
103 |
$3K |