NPI: 1255489977 · MOUNT KISCO, NY 10549 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/08/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 39 | $6K |
| 2019 | 171 | $17K |
| 2020 | 238 | $23K |
| 2021 | 163 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 383 | 378 | $55K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 57 | 31 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 28 | 12 | $420.00 |
| D0140 | Limited oral evaluation - problem focused | 117 | 117 | $106.60 |
| D0330 | Panoramic radiographic image | 12 | 12 | $33.25 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 14 | $0.00 |