SUDHEER J SURPURE MD DDS INC
NPI: 1023609062
· FLAGSTAFF, AZ 86001
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 02/02/2021
$105K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
44 |
$4K |
| 2024 |
733 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
98 |
29 |
$37K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
285 |
71 |
$37K |
| D9310 |
|
165 |
162 |
$13K |
| D9222 |
|
55 |
55 |
$10K |
| D0330 |
Panoramic radiographic image |
120 |
117 |
$7K |
| D9612 |
|
54 |
54 |
$1K |