NPI: 1447523667 · PLACERVILLE, CA 95667 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/18/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,937 | $132K |
| 2020 | 1,125 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1,072 | 391 | $81K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 390 | 387 | $51K |
| D7240 | Removal of impacted tooth - completely bony | 177 | 73 | $40K |
| D9222 | 388 | 387 | $24K | |
| D0330 | Panoramic radiographic image | 486 | 486 | $15K |
| D0140 | Limited oral evaluation - problem focused | 404 | 404 | $5K |
| D7230 | 35 | 26 | $5K | |
| D9310 | 110 | 110 | $3K |