TACKETT, JOHN
NPI: 1578666426
· SALEM, IN 47167
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/06/2006
$209K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
115 |
$8K |
| 2019 |
100 |
$15K |
| 2020 |
29 |
$5K |
| 2021 |
508 |
$60K |
| 2022 |
675 |
$108K |
| 2023 |
93 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,376 |
447 |
$205K |
| D0140 |
Limited oral evaluation - problem focused |
144 |
136 |
$5K |