KISS, ANDREW
NPI: 1174922025
· TUSTIN, CA 92780
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/16/2014
$288.22
Total Medicaid Paid
3,584
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
61 |
$0.00 |
| 2020 |
1,728 |
$68.88 |
| 2021 |
2,491 |
$219.34 |
| 2022 |
668 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
1,453 |
1,373 |
$226.32 |
| D0330 |
Panoramic radiographic image |
1,302 |
1,235 |
$61.90 |
| D7230 |
|
16 |
12 |
$0.00 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
469 |
125 |
$0.00 |
| D9222 |
|
119 |
113 |
$0.00 |
| D7240 |
Removal of impacted tooth - completely bony |
350 |
141 |
$0.00 |
| D9612 |
|
13 |
12 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,190 |
542 |
$0.00 |
| D9610 |
|
36 |
31 |
$0.00 |