THEODORE E DODSON DDS, LLC
NPI: 1861081945
· KAHULUI, HI 96732
· Dental Clinic/Center
· NPI assigned 01/13/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
59 |
$2K |
| 2022 |
660 |
$19K |
| 2023 |
511 |
$16K |
| 2024 |
351 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0140 |
Limited oral evaluation - problem focused |
701 |
486 |
$26K |
| D9110 |
|
101 |
83 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
460 |
133 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
258 |
212 |
$4K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
33 |
33 |
$843.15 |