MOUDY, FORREST
NPI: 1750707097
· DANVILLE, AR 72833
· General Practice Dentistry
· NPI assigned 03/11/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
751 |
$21K |
| 2019 |
52 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
117 |
65 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
201 |
118 |
$5K |
| D0272 |
Bitewings - two radiographic images |
186 |
122 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
134 |
84 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
165 |
105 |
$3K |