NPI: 1013225887 · HAMPTON BAYS, NY 11946 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 09/15/2010
| Authorized Official | NELSON, JACK (PRESIDENT) |
| NPI Enumeration Date | 09/15/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 254 | $14K |
| 2019 | 491 | $36K |
| 2020 | 115 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 393 | 393 | $24K |
| D0140 | Limited oral evaluation - problem focused | 358 | 357 | $19K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 30 | 30 | $5K |
| D7261 | 12 | 12 | $4K | |
| D9310 | 25 | 25 | $2K | |
| D9222 | 30 | 30 | $2K | |
| D7510 | 12 | 12 | $903.60 |