NPI: 1053329995 · MOUNT DORA, FL 32757 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 797 | $74K |
| 2020 | 969 | $155K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 548 | 172 | $71K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 111 | 111 | $44K |
| D9222 | 59 | 59 | $30K | |
| D0330 | Panoramic radiographic image | 310 | 309 | $30K |
| D7250 | 121 | 32 | $23K | |
| D9310 | 408 | 406 | $17K | |
| D7240 | Removal of impacted tooth - completely bony | 50 | 19 | $14K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 159 | 59 | $0.00 |