KEYSTONE ORAL AND MAXILLOFACIAL SURGERY PC
NPI: 1427457191
· CLINTON TOWNSHIP, MI 48036
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/19/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
111 |
$18K |
| 2023 |
13 |
$948.56 |
| 2024 |
30 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
35 |
13 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
55 |
$4K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
26 |
26 |
$3K |
| D9222 |
|
26 |
26 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$715.00 |