MATTHE E. MOUDY DDS PA
NPI: 1841814381
· CABOT, AR 72023
· General Practice Dentistry
· NPI assigned 06/01/2020
Provider Details
| Authorized Official | MOUDY, MATTHEW (OWNER) |
| NPI Enumeration Date | 06/01/2020 |
Related Entities
Other providers sharing the same authorized official: MOUDY, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,239 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
190 |
180 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
237 |
229 |
$6K |
| D0272 |
Bitewings - two radiographic images |
177 |
170 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
176 |
171 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
211 |
203 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
153 |
149 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
46 |
43 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$1K |
| D2140 |
|
20 |
14 |
$1K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$125.40 |