NPI: 1043446198 · COLUMBUS, OH 43228 · Student in an Organized Health Care Education/Training Program · NPI assigned 06/03/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 234 | $12K |
| 2019 | 2,439 | $150K |
| 2020 | 213 | $10K |
| 2024 | 794 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1,049 | 241 | $85K |
| D9243 | 1,237 | 332 | $64K | |
| D9239 | 395 | 387 | $28K | |
| D7240 | Removal of impacted tooth - completely bony | 139 | 51 | $25K |
| D9610 | 229 | 220 | $14K | |
| D0140 | Limited oral evaluation - problem focused | 466 | 446 | $13K |
| D7241 | 25 | 12 | $5K | |
| D7310 | 47 | 16 | $4K | |
| D0330 | Panoramic radiographic image | 50 | 50 | $4K |
| D9612 | 43 | 40 | $2K |