NPI: 1104238716 · MARICOPA, AZ 85139 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/30/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 39 | $413.84 |
| 2020 | 2,408 | $101K |
| 2021 | 4,787 | $249K |
| 2022 | 3,604 | $120K |
| 2023 | 3,910 | $129K |
| 2024 | 2,764 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 1,852 | 701 | $201K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3,745 | 1,367 | $172K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1,417 | 901 | $101K |
| D0330 | Panoramic radiographic image | 3,074 | 2,973 | $71K |
| D0140 | Limited oral evaluation - problem focused | 3,226 | 3,113 | $47K |
| D7230 | 421 | 245 | $45K | |
| D9222 | 969 | 902 | $30K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,465 | 1,405 | $16K |
| D9612 | 805 | 760 | $9K | |
| D7311 | 80 | 55 | $3K | |
| D9610 | 25 | 23 | $133.91 | |
| D7921 | 433 | 237 | $0.00 |