HOBERT L. MACK, D.D.S., INC
NPI: 1780802975
· LOGAN, WV 25601
· General Practice Dentistry
· NPI assigned 04/23/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
120 |
$5K |
| 2019 |
18 |
$630.00 |
| 2020 |
17 |
$595.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0140 |
Limited oral evaluation - problem focused |
112 |
92 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
24 |
15 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
12 |
$285.00 |