NPI: 1164198933 · BAYAMON, PR 00957 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/20/2021
| Authorized Official | MONTANEZ MORALES, EFRAIN (PRESIDENT) |
| NPI Enumeration Date | 08/20/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,014 | $70K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 378 | 136 | $35K |
| D0160 | 358 | 253 | $13K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 81 | 39 | $7K |
| D9222 | 81 | 39 | $7K | |
| D7240 | Removal of impacted tooth - completely bony | 35 | 12 | $7K |
| D9219 | 81 | 39 | $0.00 |