HUDSONVILE FAMILY DENTISTRY
NPI: 1932339199
· HUDSONVILLE, MI 49426
· General Practice Dentistry
· NPI assigned 07/22/2009
$149K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
495 |
$14K |
| 2019 |
818 |
$21K |
| 2020 |
899 |
$20K |
| 2021 |
782 |
$20K |
| 2022 |
988 |
$28K |
| 2023 |
1,079 |
$30K |
| 2024 |
605 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,380 |
1,380 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
1,897 |
1,897 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,511 |
1,511 |
$32K |
| D0274 |
Bitewings - four radiographic images |
507 |
507 |
$14K |
| D1110 |
Prophylaxis - adult |
240 |
240 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$675.00 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$315.86 |
| D1999 |
|
101 |
97 |
$0.00 |