DAVID L. SCHWARTZ D.M.D.
NPI: 1386819456
· OKLAHOMA CITY, OK 73170
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/29/2008
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | SHORT, APRIL (OFFICE MANAGER) |
| NPI Enumeration Date | 04/29/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
751 |
$99K |
| 2019 |
163 |
$13K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
318 |
94 |
$65K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
214 |
213 |
$24K |
| D9222 |
|
215 |
214 |
$16K |
| D9310 |
|
141 |
141 |
$6K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$557.40 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$406.70 |