NPI: 1083871347 · LITITZ, PA 17543 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/22/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 335 | $34K |
| 2021 | 825 | $88K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 283 | 170 | $42K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 339 | 101 | $38K |
| D9222 | 208 | 196 | $37K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 122 | 119 | $4K |
| D9630 | 44 | 38 | $0.00 | |
| D9612 | 12 | 12 | $0.00 | |
| D1999 | 152 | 129 | $0.00 |