PLAINFIELD ORAL & MAXILLOFACIAL SURGERY
NPI: 1568907582
· PLAINFIELD, IN 46168
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/29/2016
Provider Details
| Authorized Official | LEE, RUTH (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 12/29/2016 |
Related Entities
Other providers sharing the same authorized official: LEE, RUTH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$519.08 |
| 2021 |
470 |
$39K |
| 2022 |
340 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
123 |
39 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
369 |
312 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
165 |
38 |
$11K |
| D9243 |
|
68 |
43 |
$3K |
| D9239 |
|
51 |
43 |
$3K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$845.24 |
| D9610 |
|
19 |
12 |
$0.00 |
| D9612 |
|
15 |
15 |
$0.00 |