LOOK, FRED
NPI: 1396733200
· LOUISVILLE, KY 40216
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/13/2005
$252K
Total Medicaid Paid
1,641
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,464 |
$140K |
| 2019 |
1,265 |
$112K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
848 |
335 |
$72K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
300 |
257 |
$66K |
| D7240 |
Removal of impacted tooth - completely bony |
243 |
79 |
$47K |
| D7140 |
Extraction, erupted tooth or exposed root |
563 |
227 |
$26K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
503 |
482 |
$23K |
| D9222 |
|
124 |
119 |
$9K |
| D0160 |
|
97 |
92 |
$7K |
| D0330 |
Panoramic radiographic image |
51 |
50 |
$2K |