MELANCON, MATTHEW
NPI: 1912149980
· BROUSSARD, LA 70518
· General Practice Dentistry
· NPI assigned 04/06/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$354.12 |
| 2019 |
56 |
$2K |
| 2020 |
140 |
$5K |
| 2021 |
26 |
$611.13 |
| 2022 |
94 |
$3K |
| 2023 |
158 |
$6K |
| 2024 |
308 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
189 |
188 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
316 |
313 |
$9K |
| D0272 |
Bitewings - two radiographic images |
108 |
108 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
116 |
116 |
$3K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |
| D1120 |
Prophylaxis - child |
14 |
13 |
$455.26 |