BETHANY SERAFIN AWALT, DMD, PA
NPI: 1376861088
· PIKESVILLE, MD 21208
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/06/2010
Provider Details
| Authorized Official | AWALT, BETHANY (OWNER) |
| NPI Enumeration Date | 05/06/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
118 |
$17K |
| 2019 |
194 |
$24K |
| 2020 |
14 |
$721.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
98 |
30 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
168 |
164 |
$8K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
16 |
16 |
$4K |
| D0330 |
Panoramic radiographic image |
28 |
28 |
$1K |
| D9222 |
|
16 |
16 |
$1K |