ELIMON, RICHARD
NPI: 1003903287
· NORTH LITTLE ROCK, AR 72116
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/06/2006
$163K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
311 |
$10K |
| 2019 |
958 |
$117K |
| 2020 |
232 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
419 |
114 |
$105K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
274 |
169 |
$24K |
| D0140 |
Limited oral evaluation - problem focused |
630 |
485 |
$19K |
| D9222 |
|
178 |
170 |
$15K |