HENDRICKSON, RAYMOND
NPI: 1932116589
· PROVO, UT 84604
· General Practice Dentistry
· NPI assigned 08/02/2006
$676K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,462 |
$168K |
| 2019 |
761 |
$99K |
| 2020 |
943 |
$135K |
| 2021 |
763 |
$118K |
| 2022 |
766 |
$115K |
| 2023 |
305 |
$32K |
| 2024 |
59 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
744 |
729 |
$441K |
| D9222 |
|
625 |
621 |
$117K |
| D7240 |
Removal of impacted tooth - completely bony |
2,298 |
684 |
$90K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
737 |
597 |
$15K |
| D0330 |
Panoramic radiographic image |
319 |
311 |
$8K |
| D7230 |
|
261 |
110 |
$3K |
| D7220 |
|
75 |
26 |
$1K |