ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC
NPI: 1124776687
· MENDOTA HEIGHTS, MN 55118
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/14/2022
Provider Details
| Authorized Official | HAYES, CELIA (CREDENTIALING COORDINATOR) |
| Parent Organization | ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC |
| NPI Enumeration Date | 03/14/2022 |
Related Entities
Other providers sharing the same authorized official: HAYES, CELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
49 |
$3K |
| 2024 |
249 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
61 |
30 |
$20K |
| D0140 |
Limited oral evaluation - problem focused |
195 |
191 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
42 |
12 |
$8K |