NPI: 1407003650 · BUCKEYE, AZ 85396 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/19/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,907 | $8K |
| 2021 | 4,023 | $8K |
| 2022 | 2,701 | $3K |
| 2023 | 321 | $159.33 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 961 | 361 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1,168 | 462 | $5K |
| D0330 | Panoramic radiographic image | 2,589 | 1,849 | $3K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 780 | 445 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2,690 | 1,955 | $2K |
| D9222 | 517 | 425 | $995.58 | |
| D9612 | 217 | 184 | $225.00 | |
| D9310 | 30 | 30 | $0.00 |