NPI: 1164652376 · FARMINGTON, NM 87401 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/22/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 929 | $50K |
| 2019 | 1,642 | $96K |
| 2020 | 1,587 | $110K |
| 2021 | 831 | $81K |
| 2022 | 937 | $92K |
| 2023 | 799 | $71K |
| 2024 | 630 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 1,921 | 589 | $428K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1,468 | 179 | $111K |
| D0330 | Panoramic radiographic image | 228 | 228 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 329 | 54 | $9K |
| D9222 | 781 | 779 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 394 | 394 | $4K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2,106 | 840 | $1K |
| D9610 | 128 | 128 | $0.00 |