RODNEY RASTEGAR DDS PLLC
NPI: 1508195975
· GARDEN CITY, NY 11530
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/15/2009
$736K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVILA, JENNIFER (OFFICE MANAGER) |
| NPI Enumeration Date | 12/15/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,294 |
$59K |
| 2019 |
2,645 |
$121K |
| 2020 |
4,470 |
$187K |
| 2021 |
5,296 |
$267K |
| 2022 |
1,103 |
$83K |
| 2023 |
343 |
$18K |
| 2024 |
18 |
$405.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,659 |
2,824 |
$281K |
| D0330 |
Panoramic radiographic image |
4,162 |
4,158 |
$115K |
| D9310 |
|
2,107 |
2,106 |
$77K |
| D7240 |
Removal of impacted tooth - completely bony |
267 |
203 |
$72K |
| D9243 |
|
692 |
675 |
$58K |
| D9239 |
|
965 |
962 |
$56K |
| D7230 |
|
357 |
275 |
$56K |
| D0140 |
Limited oral evaluation - problem focused |
1,826 |
1,826 |
$18K |
| D0160 |
|
154 |
154 |
$3K |
| D7220 |
|
12 |
12 |
$665.82 |
| D1999 |
|
968 |
966 |
$0.00 |