NPI: 1356358535 · OGDEN, UT 84403 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 308 | $16K |
| 2019 | 935 | $46K |
| 2020 | 1,047 | $46K |
| 2021 | 710 | $75K |
| 2022 | 27 | $155.08 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 430 | 144 | $102K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 596 | 143 | $50K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1,116 | 556 | $12K |
| D9222 | 557 | 550 | $11K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 234 | 233 | $4K |
| D0330 | Panoramic radiographic image | 33 | 33 | $2K |
| D0140 | Limited oral evaluation - problem focused | 61 | 55 | $1K |