EVERGREEN ORAL AND MAXILLOFACIAL SURGERY
NPI: 1225564297
· EVERGREEN, CO 80439
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/11/2017
Provider Details
| Authorized Official | JUNDT, JONATHON (OWNER / SURGEON) |
| NPI Enumeration Date | 05/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
111 |
$6K |
| 2023 |
116 |
$4K |
| 2024 |
59 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
234 |
234 |
$8K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
13 |
13 |
$2K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$1K |
| D9222 |
|
13 |
13 |
$1K |