SONOMA ORAL & FACIAL SURGERY, PLLC
NPI: 1477063881
· GILBERT, AZ 85297
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/11/2017
Provider Details
Related Entities
Other providers sharing the same authorized official: SPANGANBERG, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
239 |
$3K |
| 2021 |
15 |
$278.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
103 |
81 |
$2K |
| D0330 |
Panoramic radiographic image |
69 |
65 |
$666.06 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
57 |
53 |
$443.33 |
| D9222 |
|
13 |
13 |
$96.97 |
| D9610 |
|
12 |
12 |
$50.88 |