FRANCISCO J PESTANA, DMD
NPI: 1114450475
· AMERICAN CANYON, CA 94503
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 04/04/2017
$1.60M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
705 |
$44K |
| 2019 |
1,843 |
$147K |
| 2020 |
2,481 |
$203K |
| 2021 |
3,507 |
$313K |
| 2022 |
3,442 |
$315K |
| 2023 |
3,732 |
$360K |
| 2024 |
2,484 |
$222K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,550 |
2,068 |
$652K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,051 |
4,024 |
$258K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
965 |
819 |
$131K |
| D7240 |
Removal of impacted tooth - completely bony |
556 |
228 |
$127K |
| D0330 |
Panoramic radiographic image |
4,038 |
4,017 |
$119K |
| D9222 |
|
833 |
831 |
$98K |
| D7230 |
|
465 |
232 |
$87K |
| D9610 |
|
1,150 |
1,140 |
$47K |
| D9220 |
|
160 |
160 |
$35K |
| D7220 |
|
213 |
110 |
$30K |
| D9221 |
|
123 |
121 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
43 |
15 |
$2K |
| D9243 |
|
17 |
17 |
$531.00 |
| D9239 |
|
17 |
17 |
$501.50 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$480.00 |