PRATT, FORREST
NPI: 1184156127
· CHANDLER, AZ 85224
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/29/2017
$0.00
Total Medicaid Paid
1,027
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
380 |
$0.00 |
| 2023 |
819 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
274 |
112 |
$0.00 |
| D0330 |
Panoramic radiographic image |
427 |
420 |
$0.00 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
14 |
14 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
470 |
467 |
$0.00 |
| D9222 |
|
14 |
14 |
$0.00 |