NPI: 1124255575 · DANVERS, MA 01923 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/12/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 617 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 198 | 121 | $13K |
| D9243 | 78 | 77 | $7K | |
| D9239 | 80 | 79 | $6K | |
| D0330 | Panoramic radiographic image | 113 | 113 | $4K |
| D0140 | Limited oral evaluation - problem focused | 114 | 113 | $1K |
| D9310 | 34 | 34 | $978.35 |