THOMAS, GRACE
NPI: 1588876908
· SOUTH PORTLAND, ME 04106
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/06/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
102 |
$6K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
28 |
15 |
$2K |
| D9243 |
|
16 |
16 |
$2K |
| D9239 |
|
17 |
17 |
$1K |
| D0330 |
Panoramic radiographic image |
29 |
29 |
$901.50 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$142.00 |