CONNECTICUT CENTER FOR ORAL FACIAL AND IMPLANT SURGERY PC
NPI: 1053782060
· WEST HARTFORD, CT 06107
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/16/2015
Provider Details
| Authorized Official | GADY, JACOB (PRESIDENT) |
| NPI Enumeration Date | 10/16/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
122 |
$2K |
| 2022 |
86 |
$4K |
| 2023 |
157 |
$11K |
| 2024 |
56 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
291 |
275 |
$12K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
12 |
12 |
$4K |
| D9222 |
|
12 |
12 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$983.10 |
| D9610 |
|
12 |
12 |
$360.00 |
| D1999 |
|
82 |
72 |
$0.00 |