NPI: 1164680831 · PLAINFIELD, IN 46168 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/29/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 941 | $39K |
| 2019 | 328 | $33K |
| 2020 | 268 | $10K |
| 2021 | 258 | $30K |
| 2022 | 106 | $5K |
| 2023 | 630 | $65K |
| 2024 | 93 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 431 | 119 | $103K |
| D0140 | Limited oral evaluation - problem focused | 1,144 | 926 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 568 | 97 | $27K |
| D9243 | 209 | 102 | $10K | |
| D9239 | 132 | 100 | $8K | |
| D0330 | Panoramic radiographic image | 53 | 42 | $3K |
| D9610 | 29 | 26 | $0.00 | |
| D9612 | 58 | 45 | $0.00 |