SUNRISE ORAL SURGERY, LLC
NPI: 1013773001
· GAITHERSBURG, MD 20877
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/27/2024
Provider Details
| Authorized Official | MCCUSKER, MAX (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 02/27/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
838 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
217 |
104 |
$29K |
| D7240 |
Removal of impacted tooth - completely bony |
59 |
32 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
243 |
243 |
$14K |
| D0330 |
Panoramic radiographic image |
231 |
231 |
$11K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
23 |
13 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
65 |
65 |
$1K |