NPI: 1285663534 · BRYN MAWR, PA 19010 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/30/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $405.00 |
| 2021 | 560 | $55K |
| 2024 | 70 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 196 | 68 | $18K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 74 | 72 | $16K |
| D9222 | 74 | 72 | $8K | |
| D7240 | Removal of impacted tooth - completely bony | 38 | 12 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 238 | 237 | $6K |
| D0330 | Panoramic radiographic image | 13 | 13 | $487.66 |
| D9310 | 12 | 12 | $48.00 |