STONE, MONA
NPI: 1588985899
· WESTLAKE, TX 76262
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/21/2010
$485K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,063 |
$485K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,596 |
462 |
$207K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
530 |
470 |
$148K |
| D7240 |
Removal of impacted tooth - completely bony |
180 |
102 |
$60K |
| D9222 |
|
472 |
469 |
$56K |
| D0330 |
Panoramic radiographic image |
145 |
144 |
$5K |
| D7230 |
|
23 |
16 |
$5K |
| D7310 |
|
70 |
38 |
$3K |
| D7510 |
|
35 |
33 |
$807.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$240.00 |