NPI: 1356508493 · GERMANTOWN, MD 20876 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/16/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 165 | $12K |
| 2019 | 336 | $28K |
| 2020 | 348 | $35K |
| 2021 | 19 | $912.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 148 | 147 | $25K |
| D9310 | 448 | 444 | $21K | |
| D9222 | 164 | 161 | $12K | |
| D7240 | Removal of impacted tooth - completely bony | 39 | 12 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 57 | 29 | $6K |
| D0330 | Panoramic radiographic image | 12 | 12 | $504.00 |