SPARK ORAL SURGERY PA, PLLC
NPI: 1316728652
· HAZLE TOWNSHIP, PA 18202
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/12/2023
Provider Details
| Authorized Official | LE, PHI (GENERAL COUNSEL) |
| NPI Enumeration Date | 10/12/2023 |
Related Entities
Other providers sharing the same authorized official: LE, PHI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
272 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
50 |
28 |
$21K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
28 |
20 |
$7K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
49 |
47 |
$6K |
| D9222 |
|
49 |
47 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
76 |
73 |
$4K |
| D9612 |
|
20 |
19 |
$0.00 |