JESSEN, GREGORY
NPI: 1548349251
· OGDEN, UT 84405
· Dentist Anesthesiologist
· NPI assigned 11/03/2006
$128K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
222 |
$10K |
| 2019 |
43 |
$468.90 |
| 2020 |
124 |
$5K |
| 2021 |
257 |
$14K |
| 2022 |
517 |
$31K |
| 2023 |
617 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
377 |
113 |
$83K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
168 |
52 |
$13K |
| D9222 |
|
264 |
254 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
655 |
644 |
$12K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
304 |
252 |
$8K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$673.28 |