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FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
NPI: 1407116338
· MISSOULA, MT 59801
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/25/2012
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
523 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
218 |
38 |
$0.00 |
| D9239 |
|
82 |
56 |
$0.00 |
| D9243 |
|
82 |
56 |
$0.00 |
| D7230 |
|
52 |
16 |
$0.00 |
| D9310 |
|
89 |
60 |
$0.00 |