ORAL & MAXILLOFACIAL SURGERY OF QUEENS, LLC
NPI: 1205224631
· JACKSON HEIGHTS, NY 11372
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/08/2015
Provider Details
| Authorized Official | SADEGHI, ARIAN (OWNER) |
| NPI Enumeration Date | 01/08/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,851 |
$56K |
| 2019 |
691 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
342 |
332 |
$23K |
| D0330 |
Panoramic radiographic image |
921 |
917 |
$19K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
155 |
152 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
972 |
966 |
$9K |
| D9222 |
|
152 |
151 |
$7K |