NPI: 1548392012
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 587 | $121K |
| 2021 | 1,401 | $270K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1,618 | 354 | $330K |
| D7240 | Removal of impacted tooth - completely bony | 79 | 31 | $35K |
| D0140 | Limited oral evaluation - problem focused | 188 | 188 | $11K |
| D0330 | Panoramic radiographic image | 74 | 74 | $9K |
| D0367 | 29 | 29 | $6K |