NPI: 1316267503 · HIGHLANDS RANCH, CO 80129 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/10/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 591 | $118K |
| 2019 | 433 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 449 | 142 | $120K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 214 | 197 | $33K |
| D9222 | 226 | 211 | $23K | |
| D7230 | 79 | 36 | $18K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 56 | 34 | $9K |