RAY, ANDREW
NPI: 1053541219
· LEXINGTON, KY 40509
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/22/2009
$142.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
915 |
$142.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
222 |
206 |
$87.00 |
| D0140 |
Limited oral evaluation - problem focused |
434 |
393 |
$55.00 |
| D7240 |
Removal of impacted tooth - completely bony |
79 |
26 |
$0.00 |
| D9222 |
|
20 |
14 |
$0.00 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
47 |
14 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
113 |
57 |
$0.00 |