BOUDREAUX, JOHN
NPI: 1871602581
· FRANKLIN, LA 70538
· General Practice Dentistry
· NPI assigned 08/29/2006
$138K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
843 |
$25K |
| 2019 |
697 |
$20K |
| 2020 |
715 |
$21K |
| 2021 |
664 |
$20K |
| 2022 |
452 |
$14K |
| 2023 |
509 |
$18K |
| 2024 |
473 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,130 |
1,123 |
$56K |
| D0120 |
Periodic oral evaluation - established patient |
1,502 |
1,496 |
$42K |
| D1208 |
Topical application of fluoride, excluding varnish |
800 |
796 |
$16K |
| D0272 |
Bitewings - two radiographic images |
691 |
684 |
$15K |
| D1120 |
Prophylaxis - child |
124 |
124 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
91 |
81 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$897.82 |