NPI: 1033293568 · TEMPLE, TX 76502 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/24/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 340 | $34K |
| 2022 | 309 | $24K |
| 2023 | 31 | $724.23 |
| 2024 | 105 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 134 | 47 | $37K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 169 | 107 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 190 | 184 | $6K |
| D9222 | 107 | 107 | $6K | |
| D7230 | 24 | 15 | $4K | |
| D9310 | 71 | 71 | $991.44 | |
| D0330 | Panoramic radiographic image | 12 | 12 | $765.36 |
| D9610 | 28 | 28 | $483.84 | |
| D0603 | 35 | 33 | $0.00 | |
| D0602 | 15 | 14 | $0.00 |