DOMINGUEZ FERNANDEZ, ENIF
NPI: 1538476775
· LEXINGTON, KY 40536
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/09/2010
$409K
Total Medicaid Paid
3,801
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,031 |
$51K |
| 2019 |
1,222 |
$61K |
| 2020 |
1,167 |
$72K |
| 2021 |
1,675 |
$97K |
| 2022 |
600 |
$23K |
| 2023 |
514 |
$38K |
| 2024 |
882 |
$67K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
3,358 |
654 |
$177K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,626 |
1,599 |
$70K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
554 |
107 |
$47K |
| D0330 |
Panoramic radiographic image |
970 |
960 |
$40K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
183 |
169 |
$27K |
| D7240 |
Removal of impacted tooth - completely bony |
141 |
56 |
$27K |
| D9222 |
|
230 |
227 |
$18K |
| D9239 |
|
29 |
29 |
$2K |