WHITEWATER ORAL SURGERY GROUP PLLC
NPI: 1104248053
· BOISE, ID 83702
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/13/2014
Provider Details
| Authorized Official | KEMPERS, KEVIN (OWNER) |
| NPI Enumeration Date | 01/13/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$296.58 |
| 2019 |
29 |
$488.70 |
| 2020 |
366 |
$12K |
| 2021 |
456 |
$4K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
38 |
12 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
254 |
253 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
129 |
$2K |
| D0330 |
Panoramic radiographic image |
53 |
52 |
$831.39 |
| D9222 |
|
186 |
185 |
$169.46 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
216 |
146 |
$0.00 |