JACKSON, DOLPHUS
NPI: 1467511642
· SPRING HILL, TN 37174
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/06/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
69 |
$2K |
| 2019 |
85 |
$3K |
| 2020 |
148 |
$8K |
| 2021 |
203 |
$10K |
| 2022 |
193 |
$17K |
| 2023 |
135 |
$3K |
| 2024 |
137 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
176 |
80 |
$13K |
| D7240 |
Removal of impacted tooth - completely bony |
46 |
16 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
435 |
402 |
$9K |
| D9222 |
|
114 |
107 |
$9K |
| D9612 |
|
127 |
120 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
72 |
68 |
$2K |