JUSTIN C. BLEY D.M.D., P.C.
NPI: 1174702880
· GREELEY, CO 80634
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/30/2007
$195K
Total Medicaid Paid
Provider Details
| Authorized Official | BLEY, JUSTIN (OWNER) |
| NPI Enumeration Date | 10/30/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,310 |
$106K |
| 2019 |
943 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9222 |
|
494 |
487 |
$50K |
| D7140 |
Extraction, erupted tooth or exposed root |
472 |
155 |
$41K |
| D7220 |
|
171 |
82 |
$29K |
| D7230 |
|
105 |
50 |
$22K |
| D0140 |
Limited oral evaluation - problem focused |
566 |
566 |
$19K |
| D0330 |
Panoramic radiographic image |
366 |
366 |
$19K |
| D7240 |
Removal of impacted tooth - completely bony |
54 |
15 |
$13K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
25 |
25 |
$2K |