NPI: 1568563070 · PHILADELPHIA, PA 19125 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 09/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 351 | $29K |
| 2022 | 115 | $5K |
| 2024 | 104 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 200 | 113 | $21K |
| D7240 | Removal of impacted tooth - completely bony | 46 | 15 | $9K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 139 | 116 | $8K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 38 | 19 | $5K |
| 70355 | 128 | 105 | $3K | |
| D9222 | 19 | 19 | $2K |