PEDIATRIC ORAL SURGERY AND GENERAL DENTAL INC SC
NPI: 1518727932
· MILWAUKEE, WI 53225
· Dental Clinic/Center
· NPI assigned 03/21/2024
Provider Details
| Authorized Official | SAJAN, MURTAZA (CEO) |
| NPI Enumeration Date | 03/21/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
114 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
17 |
15 |
$961.52 |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$841.90 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$341.71 |
| D1206 |
Topical application of fluoride varnish |
22 |
21 |
$310.75 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$244.14 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
15 |
$141.97 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
15 |
$111.44 |