IMRAY & GESEK DMD PA
NPI: 1114065133
· JACKSONVILLE, FL 32204
· Dentist
· NPI assigned 02/02/2007
$402K
Total Medicaid Paid
Provider Details
| Authorized Official | GESEK, DANIEL (OWNER) |
| NPI Enumeration Date | 02/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$652.50 |
| 2019 |
106 |
$10K |
| 2020 |
2,044 |
$312K |
| 2021 |
40 |
$175.00 |
| 2022 |
609 |
$80K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,188 |
375 |
$243K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
436 |
217 |
$43K |
| D9222 |
|
205 |
203 |
$39K |
| D7230 |
|
105 |
55 |
$37K |
| D0140 |
Limited oral evaluation - problem focused |
724 |
714 |
$25K |
| D7240 |
Removal of impacted tooth - completely bony |
32 |
12 |
$8K |
| D0330 |
Panoramic radiographic image |
126 |
121 |
$7K |
| D9995 |
|
12 |
12 |
$0.00 |