JOHN S WON MD PA
NPI: 1194298828
· GREENSBORO, NC 27405
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/04/2019
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | WON, JOHN (OWNER) |
| NPI Enumeration Date | 01/04/2019 |
Related Entities
Other providers sharing the same authorized official: WON, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,969 |
$153K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
412 |
164 |
$43K |
| D7230 |
|
198 |
99 |
$32K |
| D7240 |
Removal of impacted tooth - completely bony |
95 |
37 |
$19K |
| D9222 |
|
256 |
243 |
$16K |
| D9612 |
|
231 |
226 |
$14K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
218 |
205 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
178 |
171 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
156 |
129 |
$5K |
| D0330 |
Panoramic radiographic image |
225 |
220 |
$5K |