DAVID M WEBER DDS MD PC
NPI: 1326499310
· KALISPELL, MT 59901
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 06/30/2016
$2.17M
Total Medicaid Paid
Provider Details
| Authorized Official | WEBER, DAWN (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 06/30/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,079 |
$470K |
| 2019 |
4,880 |
$611K |
| 2020 |
4,550 |
$604K |
| 2021 |
3,470 |
$485K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,071 |
2,982 |
$670K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,054 |
1,466 |
$510K |
| D9222 |
|
2,925 |
2,845 |
$257K |
| D7240 |
Removal of impacted tooth - completely bony |
760 |
271 |
$172K |
| D0367 |
|
605 |
594 |
$160K |
| D9310 |
|
2,918 |
2,831 |
$151K |
| D7230 |
|
790 |
353 |
$147K |
| D7220 |
|
192 |
95 |
$30K |
| D1320 |
|
616 |
602 |
$23K |
| D7140 |
Extraction, erupted tooth or exposed root |
308 |
74 |
$19K |
| D0330 |
Panoramic radiographic image |
405 |
390 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
335 |
295 |
$11K |