NPI: 1124595475 · GASTONIA, NC 28054 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/25/2018
| Authorized Official | HALL, JENNIFER (BILLING SUPERVISOR) |
| NPI Enumeration Date | 10/25/2018 |
Other providers sharing the same authorized official: HALL, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| CENTER OF BEHAVIOR AND LEARNING TRANSFORMATIONS, PLLC | PARAGOULD | AR | $1.04M |
| MARKED TREE SCHOOLS | MARKED TREE | AR | $463K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,567 | $134K |
| 2020 | 2,656 | $232K |
| 2021 | 1,864 | $170K |
| 2022 | 2,478 | $206K |
| 2023 | 56 | $3K |
| 2024 | 190 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 1,604 | 557 | $312K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1,285 | 854 | $91K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 833 | 305 | $87K |
| D9222 | 1,129 | 1,071 | $79K | |
| D0140 | Limited oral evaluation - problem focused | 1,693 | 1,623 | $61K |
| D7140 | Extraction, erupted tooth or exposed root | 945 | 366 | $60K |
| D9612 | 708 | 680 | $42K | |
| D7230 | 88 | 52 | $15K | |
| D0330 | Panoramic radiographic image | 419 | 400 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $676.72 |
| D1999 | 53 | 52 | $0.00 | |
| E0700 | Safety equipment, device or accessory, any type | 40 | 39 | $0.00 |