NPI: 1568878270 · BLOOMINGTON, IN 47403 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/02/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 889 | $63K |
| 2021 | 1,788 | $138K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 994 | 278 | $121K |
| D9243 | 735 | 177 | $31K | |
| D0160 | 487 | 411 | $19K | |
| D7240 | Removal of impacted tooth - completely bony | 64 | 13 | $13K |
| D9239 | 216 | 177 | $10K | |
| D0330 | Panoramic radiographic image | 160 | 130 | $8K |
| D1999 | 21 | 20 | $40.24 |