NPI: 1548228513 · INDIANAPOLIS, IN 46219 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 561 | $11K |
| 2019 | 1,130 | $125K |
| 2020 | 1,987 | $248K |
| 2021 | 2,715 | $343K |
| 2022 | 2,845 | $291K |
| 2023 | 3,104 | $350K |
| 2024 | 960 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3,055 | 957 | $395K |
| D7250 | 2,169 | 665 | $394K | |
| D7240 | Removal of impacted tooth - completely bony | 1,211 | 436 | $354K |
| D0140 | Limited oral evaluation - problem focused | 3,618 | 3,236 | $125K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 939 | 477 | $57K |
| D9243 | 558 | 297 | $40K | |
| D9222 | 655 | 520 | $32K | |
| D0330 | Panoramic radiographic image | 521 | 422 | $28K |
| D9239 | 463 | 386 | $27K | |
| D7230 | 113 | 56 | $24K |