NPI: 1063638393
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,151 | $971K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3,031 | 911 | $356K |
| D7240 | Removal of impacted tooth - completely bony | 902 | 401 | $206K |
| D9220 | 771 | 768 | $143K | |
| D7230 | 408 | 257 | $77K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,520 | 1,517 | $74K |
| D9221 | 757 | 731 | $57K | |
| D0330 | Panoramic radiographic image | 1,447 | 1,445 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | 315 | 99 | $18K |