REEBYE PARK & RICHMAN DDS PLC
NPI: 1104317163
· GREENSBORO, NC 27401
· Dentist
· NPI assigned 05/25/2018
$1.47M
Total Medicaid Paid
Provider Details
| Authorized Official | HENAO, ANDRES (TECHNICAL DIRECTOR) |
| Parent Organization | REEBYE PARK & RICHMAN DDS PLC |
| NPI Enumeration Date | 05/25/2018 |
Related Entities
Other providers sharing the same authorized official: HENAO, ANDRES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
645 |
$59K |
| 2020 |
5,210 |
$537K |
| 2021 |
5,828 |
$602K |
| 2022 |
2,582 |
$270K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,203 |
792 |
$440K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,672 |
972 |
$307K |
| D7230 |
|
1,439 |
587 |
$250K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,436 |
1,421 |
$126K |
| D9222 |
|
1,673 |
1,658 |
$124K |
| D9612 |
|
1,620 |
1,606 |
$100K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,988 |
1,967 |
$91K |
| D0330 |
Panoramic radiographic image |
1,234 |
1,221 |
$30K |