JOHN M HYSON III D.D.S. P.A.
NPI: 1922101906
· LUTHERVILLE, MD 21093
· Endodontist
· NPI assigned 09/06/2006
$739.80
Total Medicaid Paid
Provider Details
| Authorized Official | HYSON, JOHN (PRESIDENT) |
| NPI Enumeration Date | 09/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$739.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$604.80 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$135.00 |